Guide to Launching a Pre-Bill Audit Program with eValuator
Use this guide to assess your revenue cycle program against key benchmarks, implement a pre-bill audit program with actionable steps for launch, staffing,…
Tag: pre-bill
eValuator’s $31M Cash Impact Validated Via 835 Remittance Analysis
After implementing eValuator, the client aimed to confirm its financial impact by analyzing 835 remittance data for inpatient claims. A post-payment analysis comparing…
eValuator Uncovering Needles in the Haystack
Coding integrity audits today generally share one characteristic in common: the reviewed claims make up only a small percentage of those billed. But,…
eValuator’s Evolving, AI-Driven Ruleset Yields $11.3M of Financial Impact
A proprietary Artificial Intelligence (AI) tool, which continuously analyzes encounter and audit data across all eValuator clients, enabled the creation of new rules,…
eValuator Corrects 22% of External Vendor-Coded DRGs, Resulting in $1M Financial Impact Over 90-Days
Facing challenges in hiring inpatient coding staff, the client turned to outsourced coding support. eValuator identified a high DRG change rate associated with…
The Harmonious Blend of Pre-bill and Post-bill Auditing
The pursuit of improved performance is top-of-mind for financial leaders. Razor-thin margins, increasing payor delays and denials, staffing costs and operational difficulties make…
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