Case Study

How Cooper University Health Care Leveraged eValuator™ to Drive $3.2M in Revenue Integrity Impact

$3.2M

Total impact on revenue integrity

15.9X

Total annual ROI

$2.2M

New revenue captured via audit changes

Cooper University Health Care needed improved results from their auditing program, better reporting to assess the program’s impact, and greater ROI with opportunities for long-term improvement. By adopting MDaudit’s eValuator™, the health system gained instant analysis to prioritize issues, robust reporting to confirm results, and a scalable process that delivered $3.2M in total revenue integrity impact with a 15.9X annual ROI.

“Our coders do a good job with 95% accuracy, which is what CMS recommends. However, given our size and volume of care delivery, even a little improvement in coding yields a substantial impact. Our goal was to identify ways we could effectively and efficiently improve our results.”

Maureen Trainor, Director of HIM, Cooper University Health Care

Background Summary

Academic health system looks to identify additional opportunities in revenue integrity.

Cooper University Health Care is a leading academic health system serving South Jersey and the greater Philadelphia region. Founded in 1887 and headquartered in Camden, New Jersey, Cooper delivers comprehensive care across more than 130 locations and is nationally recognized for clinical excellence, including its Level I Trauma Center.

The organization was using an outside firm for pre- and post-billing coding audits but lacked the insights needed to confirm compliance and reduce revenue leakage. Cooper sought a technology-enabled solution with rules-based analysis, automated workflows, strong reporting, and a partnership focused on long-term success.