We’re Proud of Our Success
We are proud to have helped over 200 hospitals recover lost revenue and optimize their EMR systems—here are just some of our best success stories.
Total Amount Secured
$19.2 Million
One large Southeast Hospital noticed its revenue was millions of dollars less than expected three months following a complete implementation of Oracle Cerner Millennium, including Patient Accounting. Our software was able to instantly identify nearly $4.8 million in lost revenue that other analysts had missed for three months.
Problems
- Ordered tests were always not being charged
- Inconsistent charges from one specific location
Tool
- Panther Charge Integrity Control
Solutions
- Corrected build and workflow issues in EMR
- Repaired workflow design issue with charges
- Identified orderables that never posted charges
Total Amount Secured
$1,500+ Weekly
Midland Health had invested a significant amount into their EHR system but was struggling to find missing revenue and claims that weren’t posting charges. Using Softek’s advanced software solutions, they were able to stop leakage and repair dysfunctional revenue streams
Problems
- Struggling to find missing revenue
- Certain claims weren’t posting charges
Tool
- Panther Charge Capture
Solutions
- Identified leakage within pharmacy
- Identified missing EKG charges
- Repaired charging for blood transfusions
Total Amount Secured
$1 Million
During our engagement at one health system in Florida, we noticed issues with their revenue integrity in healthcare and billing systems related to orders not posting charges consistently. Through the use of our advanced software, we were able to help identify which orderables had missed charges and for which patients.
Problems
- Inconsistent EMR structure and organization
- Many payments were being missed or declined
Tool
- Panther Charge Integrity Control
Solutions
- Identified inconsistent charging within the Gen Lab
- Identified mislabeled oderables causing missed charges
- Confirmed the orderables are now posting to date
Total Amount Secured
Over $240,000
Using Softek’s Formulary Compliance Control, our consultants found 127 QCF build issues that were leading to missed reimbursements at a large western hospital. Our Formulary Compliance Control also identified 2,784 expired NDCs, 366 that were causing Medicare to deny payments, as well as two drugs missing HCPCS codes leading to denials.
Problems
- No consistent auditing system in place
- Outdated internal records leading to denied payments
Tool
- Panther Formulary Compliance Control
Solutions
- Found 127 QCF build issues
- Identified two drugs missing HCPCS codes
- Identified which orderables had missed charges
Total Amount Secured
$2.5 Million
Revenue at one Midwest regional medical center was down six months after going live with Oracle Cerner clinical applications. Using the Charge Integrity Control inside our proprietary Panther technology, Softek’s Revenue Consulting team had instant visibility into charging gaps within each department. With our our unique visibility into the EMR, we identified 10 different orderables with a manual change to the technical tier that had led to missing technical charges.
Problems
- Leakage was suspected but not identified
- Some orderables were missing technical charges
Tool
- Panther Charge Integrity Control
Solutions
- Identified 10 orderables with manual changes on technical tier
- Advised client on correcting the system build in its technical tier
- Assisted client with correcting orderables for the previous 30 days
Total Amount Secured
$3 Million
Revenue at one Southern academic medical center was down six months after going live with Oracle Cerner clinical applications. Softek’s Revenue Consulting team used reports within our Panther Charge Capture technology to quickly locate the source of this six-month-old problem.
Problems
- Revenue was significantly lower than projected
- Record management issues caused by poor visibility into EMR
Tool
- Panther Charge Services Report
Solutions
- Identified errors in the Pharmacy No-Cost Ingredients Report
- Advised client on manually correcting costs
- Assisted client with correction of system build
Total Amount Secured
Over $400,000
The client had a system change that led to inconsistencies in charging. Softek’s Charge Integrity Control compares patient orders and corresponding charges along the entire transaction process. Softek consultants were able to find $270,000 in missed charges within Radiology over a one-day span. Within Gen Lab alone, there was $143,000 in missed charges.
Problems
- System changes were not synced within EMR
- No charge audit system in place
Tool
- Panther Charge Integrity Control
Solutions
- Compared patient orders to charges
- Established scheduled system audits
- Reorganized EMR charge flow
Total Amount Secured
Over $500,000
Using Softek’s Formulary Compliance Control, our consultants found 10 reimbursable drugs with QCF issues in a southeastern hospital. In total, these issues caused over $500,000 of missed reimbursement for the client over the prior six months.
Problems
- Unidentified QFC issues on reimbursable drugs
- Consistently missing reimbursement
Tool
- Panther Formulary Compliance Control
Solutions
- Reorganized flow of records in EMR
- Resolved QFC issues
- Established regular auditing system
What Our Clients Have to Say
Our clients have had great experiences with our Panther technology.
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