DENIALS
Multi-hospital organization $6,670,907 recoup claim appeals $7,370,509 recoup claim denials 88% of outpatient claims resolved 325 outpatient claims denied 287 claims resubmitted Over 1 quarter |
EDIT REMEDIATION
Health System including 11 hospitals 250 different providers $341,653,095 recoup of charges 33,570 Prebill edits reviewed at the claim level Over 1 year |
CODING REVIEWS
Level one trauma center Multi-hospital system $835,310 revenue recoup 14,203 claims reviewed 89% coding accuracy 1503 recommended changes Over 1 year |