The Challenge The health system faced three common revenue leakage problems: missing charges, denial write- offs and productivity inefficiencies. The health system’s Director of Managed Care and Professional Billing explained that they did not have the right tools to address missing charges. “We knew we had charge integrity problems and were missing significant revenue opportunities. As an example, we never do certain procedures without specific drugs, but with our legacy system, we couldn’t account for all the items. We would file claims without the drugs and unknowingly lose revenue. We just kept asking, ‘Wow, what else is out there?’” About the same time, frustrations were brewing on the denials front, stemming from a system that could only do a little more t

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