“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