Executive summary
Carle Health's CDI program was already sophisticated, tracking CMI, review and re-review rates, and query volume across its eight-hospital system. As coding and documentation demands kept growing more complex, even with existing tools prioritizing cases, reviewing each chart was only getting more burdensome so Carle Health modernized the program with AI working alongside its CDI team. Check out the case study to:
- See why Carle Health replaced a legacy software tool and rebuilt its CDI technology foundation around SmarterPrebill
- Discover how Carle Health captured $19.5 million in revenue impact across nearly 12,000 encounters
- Learn how SmarterPrebill surfaced an average of 116 quality measures per month, supporting more accurate risk adjustment and reporting
- Find out why Carle is turning to SmarterDenials next to take on rising DRG downgrades and medical necessity denials
What changed operationally
Result methodology and context
