White Papers & Case Studies

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National CC/MCC Capture Rate and Case Mix Index Study. A nationwide analysis of hospitals’ case mix index trends and CC/MCC capture rates since the implementation of ICD-10. 

Since the October 1, 2015 commencement of I-10, both case mix index trends and CC/MCC capture rates nationwide have improved by 2.8% and 0.8% respectively.Years of coding and documentation training to address the tenfold increase in available codes and the need for improved specificity and documentation under I-10 appears to be paying off overall

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Case Study: Achieve Significant Efficiencies through a Comprehensive Audit Program to Ensure Compliant Coding and Optimal Reimbursement

A large, multi-specialty practice with more than 1,000 physicians and allied health professionals has been able to achieve significant efficiencies by consolidating a number of core administrative activities, particularly billing, reimbursement, and other financial operations.

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A Multi-Institutional Healthcare Delivery System Uses Data and Rules-Based AI to Enhance Revenue Capture and Reduce Compliance Risk

A large multi-institutional healthcare delivery system wanted to develop a charge capture program that would help all their hospitals ensure appropriate reimbursements. The solutions they considered didn’t cut it—until they found CLAIMSauditor.

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