Trisus Data Integrity Suite Customer Success Story

This case study documents the implementation of the Trisus Data Integrity Suite at a short-term acute care DSH facility with over 30 care sites and nearly 350,000 patient encounters annually. The organization aimed to lead an Epic Revenue Integrity Conversion, focusing on ensuring chargemaster accuracy, verifying drug reimbursement accuracy, enhancing supply billing compliance, and validating the Item Master for proper patient billing. The Trisus Data Integrity Suite assists in streamlining workflows and aligning data across various value streams to improve charge capture, claim accuracy, and billing compliance. Over a three-month period, the organization achieved significant improvements in key metrics, including a 60% enhancement in hospital CDM health statistics and a notable reduction in revenue code issues. Additionally, the suite identified nearly $3 million in gross revenue opportunities related to pharmacy formulary adjustments. The implementation reflects a strategic transformation in the organization's financial and operational processes.