Revenue integrity analytics for a major health system
- Challenge
- Resource-intensive rules and high false positives obscured missed charges and coding errors across a multi-billion-dollar health system.
- Approach
- Predictive account-level analysis, automated reconciliation across EMR environments and feedback-driven models prioritised the highest-value exceptions.
- Reported outcome
- The prior InVie case-study library reported more than $40m in confirmed missed charges and automated analysis of all outpatient accounts.
