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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....
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*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
Can't Get Automated QA Just Yet?

