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…
Category: eValuator Case Studies
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…
Cooper University Healthcare Case Study
Cooper University Health Care needed improved results from their auditing program, better reporting (summary & detail) to assess program’s impact, and a greater…
Pre-Bill Transformation Slashed Denials by 90% and Tripled Audits without Extra Staff
Client transitioned from an inefficient, sporadic retrospective coding audit on spreadsheets to a pre bill, real time coding integrity program handling larger audits…
Saving IT Resources, Boosting Accuracy, and Enhancing Coding Integrity
Replacing old on-premise inpatient-only technology with cloud based eValuator saved IT resources and boosted auditing impact by millions while enhancing overall revenue integrity.
Transition To Pre-Bill eValuator Increases DRG Change Rate By 80% and Enhances Coding Integrity
Switching from an outdated manual coding audit program to tech-enabled pre-bill eValuator increased the average DRG change rate from 10% to 18%, boosted…