Whitepapers & Case Studies

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Hospital Zero-Base Pricing®: A Novel Approach to Establishing Rational Chargemaster Prices

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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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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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Managing the Chargemaster as the Fuel of the Revenue Engine

Hospital leadership responsible for achieving financial goals that include revenue growth, expense management, and operating margins is facing the growing importance of chargemaster integrity. We attribute the challenge of managing financial goals to the accuracy of charge data, complex systems impacting the ability to view the data, and the rapidly changing healthcare environment.

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