During the spring of 2015, RUMC’s encoder vendor was failing to provide the comprehensive workflow and functionality support necessary for the pending ICD-10 migration, which would go into effect on October 1, 2015. The forecasted productivity losses to coders because of the migration were concerning to RUMC executives as it would negatively impact Discharged Not Final Billed (DNFB) and hospital cash flow. Additionally, RUMC sought to reduce the time coders spent coding cases. CASE STUDY AGS HEAL TH | CASE STUDY During the spring of 2015, RUMC’s encoder vendor was failing to provide the comprehensive workflow and functionality support necessary for the pending ICD-10 migration, which would go into effect on October 1, 2015. The forecasted productivity losses to coder

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