e4 DRG Validation Services...e4 can conduct an Initial Impact Assessment to identify how our DRG...
1
e4 SERVICES FACT SHEET Simply Innovate. Services Contact EMAIL: [email protected] TELEPHONE: 888-443-4782 Accurate code and DRG assignment translates into secure revenue. It impacts the appropriate capture of the patient’s clinical condition, severity of illness, risk of mortality, risk adjustment, and decreases risk for payer denials. Additionally, DRG Validation allows an organization to identify opportunities for process improvement, and then take that information and translate it into ongoing education. SOLUTION OVERVIEW e4 provides comprehensive Pre-Bill DRG Validation services. After the coder has applied the initial codes to the record, they are placed in a queue for an e4 Coding Consultant to review and validate before final billing. e4 reviews the coding to ensure the following: • Proper Code Assignment • Proper Sequencing • Proper DRG Assignment • Query Opportunities • Documentation Opportunities This information is used to improve coding accuracy, revenue capture and coder education. Most notably, our DRG Validation Services provide a significant, demonstrable return on investment that can go a long way to improving your bottom line. And, e4 can accomplish this without adding days to the DNFB. INITIAL AUDIT e4 can conduct an Initial Impact Assessment to identify how our DRG Validation Services can assist your organization, and provide a customized Statement of Work and Return on Investment Analysis to demonstrate projected results. CLIENT CASE STUDY CLIENT PROFILE: Community Hospital located on Long Island, New York. SERVICES PROVIDED: e4 is providing full Pre-Bill DRG Validation Services. This includes reviewing 100% of medical and surgical admissions across all payers (excluding maternity). RESULTS: • e4 has been able to demonstrate a return on investment rate in excess of 200% • 7.83% improvement on CMI • 22.88% improvement on CC/MCC capture rate • 37.66% improvement on MCC capture rate e4 DRG Validation Services Secure revenue and improve overall clinical processes
Transcript of e4 DRG Validation Services...e4 can conduct an Initial Impact Assessment to identify how our DRG...
e4 SERVICES FACT SHEET
Simply Innovate.
Services Contact
EMAIL: [email protected] TELEPHONE: 888-443-4782
Accurate code and DRG assignment translates into secure
revenue. It impacts the appropriate capture of the patient’s
clinical condition, severity of illness, risk of mortality, risk
adjustment, and decreases risk for payer denials. Additionally,
DRG Validation allows an organization to identify opportunities
for process improvement, and then take that information and
translate it into ongoing education.
SOLUTION OVERVIEW
e4 provides comprehensive Pre-Bill DRG Validation services.
After the coder has applied the initial codes to the record, they are
placed in a queue for an e4 Coding Consultant to review and
validate before final billing. e4 reviews the coding to ensure the
following:
• Proper Code Assignment
• Proper Sequencing
• Proper DRG Assignment
• Query Opportunities
• Documentation Opportunities
This information is used to improve coding accuracy, revenue
capture and coder education. Most notably, our DRG Validation
Services provide a significant, demonstrable return on investment
that can go a long way to improving your bottom line. And, e4 can
accomplish this without adding days to the DNFB.
INITIAL AUDIT
e4 can conduct an Initial Impact Assessment to identify how our
DRG Validation Services can assist your organization, and provide
a customized Statement of Work and Return on Investment
Analysis to demonstrate projected results.
CLIENT CASE STUDY
CLIENT PROFILE:
Community Hospital located on Long Island, New York.
SERVICES PROVIDED:
e4 is providing full Pre-Bill DRG Validation Services. This includes reviewing 100% of medical and surgical admissions across all payers (excluding maternity).
RESULTS:
• e4 has been able to demonstrate a
return on investment rate in excess
of 200%
• 7.83% improvement on CMI
• 22.88% improvement on CC/MCC
capture rate
• 37.66% improvement on MCC
capture rate
e4 DRG Validation ServicesSecure revenue and improve overall clinical processes
