We found $80,000 of revenue associated with one HCPCS code in our very first experience using Bill Analyzer.
—Terri Rinker, Community Hospital Anderson, Anderson, Indiana
As important as a clean Charge Description Master is to obtaining optimal reimbursement, even the cleanest chargemaster cannot guarantee that all the appropriate charges will appear on the final patient bill. Furthermore, the final bill combines the CDM’s “hard” coding with the “soft” coding done by HIM professionals.
At that point revenue opportunities can be lost.
Bill Analyzer compares your actual claims with proprietary intelligence that Craneware has gleaned from examining over 58 million hospital claims. Bill Analyzer then identifies legitimate revenue opportunities that will be lost unless “upstream” errors are corrected. Those errors will be scored with a percentage probability that you will receive additional revenue by acting on the problem, and the software will tell you how much revenue you have at stake with each set of problems.
You can use Bill Analyzer before your bills drop, or you can use it retrospectively to identify trends and fix issues within your charge capture process. Ask us how others are using the software to capture otherwise lost revenue.
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