Client X: Let's Talk Numbers | Coding Review ROI

Sep 15, 2020

“Client X” is a not-for-profit, fully integrated health system, with over 1,500 physicians and 14 medical centers, as well as hundreds of outpatient facilities and physician clinics.

HIA performed a 992-record review this year for Client X and found an opportunity with 161 of them. 143 had an increased reimbursement with a total of $612,862 found.

😳 WOW, that’s a lot of money!

The remaining 18 represented $45,156 of exposure.

Some more numbers…

The ROI was 5:1 for this review

The CMI increased by 0.0858

On average, we found $572 increase/record reviewed

 

Interested?

    Category

    Related blogs from Industry News

    CPT Coding Guidelines Review: Echocardiography

    This is a series of blogs about the importanc...

    Swing Bed Coding in ICD-10-CM: Key Guidelines for ...

    This blog explores swing bed coding in ICD-10...

    Aug 14, 2025

    Coding Support Models Explained: PRN, Overflow, an...

    When coding demands shift, knowing your staff...

    What is the Medicare Physician Fee Schedule?

    The Resource Based Relative Value Scale (RBRV...