Healthcare

Additional revenue of $14m+ identified annually and 100% pre-bill and post-bill analysis

Challenges
The client was a small hospital system with limited resources to deal with revenue leakage challenges. The low revenue opportunity findings with high false positives and high resource cost led to millions of dollars in lost net revenue.
Solutions
Leveraged a global model with other hospitals’ findings to offer insight into missed charges in the initial phase. Worked with the hospital system to identify billing challenges and adjusted thresholds accordingly. User friendly dashboards that offer insight into potential problem areas and educate departments.
Outcomes
$14M+
confirmed missed charges
100%
outpatient accounts analyzed
Automated pre-bill and post bill process
$14m+ in confirmed missed charges. 100% of outpatient accounts analyzed through automated pre-bill and post bill process.