Mastering the Matrix: Navigate FY 2026 IPPS Changes with Confidence
Audit data is overwhelming without the right system to organize and act on it. Many teams struggle to identify patterns, prioritize education, or…
Tag: auditing
Turning Audit Data into Action: Using Coding Trends to Drive Focused Education and Denial Mitigation
Audit data is overwhelming without the right system to organize and act on it. Many teams struggle to identify patterns, prioritize education, or…
Quest for Revenue Foresight
Discover how Tampa General Hospital improved revenue integrity by shifting to proactive pre-bill auditing with eValuator®. Diane Lerch, Director of Coding and CDI…
Bridging Pre-Bill and Retrospective Audits
Discover how Cooper University Health Care is transforming coding accuracy by aligning pre-bill validation with retrospective audits to enhance compliance, reduce denials and…
Pre-Bill Blueprint: Building a Successful Pre-Bill Program
This webinar features an insightful roundtable discussion with industry experts on successfully launching a pre-bill auditing program. It covers the essential steps to…
Post-bill Pitfalls: The Hidden Costs of Post-Bill Audits
In today’s complex healthcare revenue cycle, accurate coding and timely billing are paramount. Historically, many hospitals have relied on post-bill audits to identify…
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…
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