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Case Studies
Case Study A: Hospital- Phase I (Assessment) Client:
- Assessment performed for client in New Jersey
- 173 beds
- Annual Gross Revenue: >$160M
- The Results:
- Fifty-two percent (52%) of all bills analyzed had at least one charge capture error.
- The amount of inaccurate charges totaled more than $706K net across the data sample (6 months provided); $1.4M IN NET REVENUE BENEFIT WAS ADDED BY DECEMBER 2014
Case Study B: Hospital- Phase II (Client working the tool)
- Seven (7) hospital health system in Florida
- Annual Gross Revenue: >$7B
- Number of Annual Inpatient Visits 2010: 268K+
- Number of Annual Outpatient Visits 2010: 642K+
- The Results:
- Forty-six percent (46%) of bills needed charge adjustments.
- The amount of inaccurate charges totaled more than $600K during the audit period (2 week intense review and quantification by client- 2010).
- Annualized, these inaccurate charges comprised more than 2% of the revenue generated by Hospital A; more than $14M annualized net impact
Case Study C: Phase II Client (ERIS working the tool on behalf of the client)
- 333 bed hospital located in New Jersey
- Annual Gross Revenue: <$1B
- Number of Annual Discharges (2013): 8,631
- Audit results encompass January 2014- March 2014
- The Results:
- The total verified and rebilled missing charges totaled more than $2.5M during this 3-month time period.
- The net revenue recovery for these missing charges is tracking at approximately 30% of the total gross missing charge amount. This equates to $750K of additional net revenue within this short time period.
- By December 2014, we added over $3M bottom-line net revenue