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Cost Justification - How Automated QA pays for itself

Savings for typical 250-bed hospital with 350k annual registrations:

Eliminate Manual QA $78,750
Reduce PFS Rework $87,500
Reduce Returned Mail $22,500
Write-offs due to Preventable Denials $183,750
Total First Year Savings* $372,500
Improved Competency & Morale....
Priceless



*Assumptions

  • $2,500 average charges per account
  • 35% reimbursement to charges ratio
  • 20% of accounts reviewed manually
  • 25% error rate (percent of accounts with any error)
  • 10% fatal error rate (percent of accounts with financial impact errors)
  • 2% write-off rate (percent of non-reimbursable fatal errors)
  • 50% reduction to PFS rework

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