Driving revenue growth through accurate ER coding

East Ohio Regional Hospital (EORH) is a 140-bed healthcare facility located in downtown Martins Ferry, Ohio. Established in 1906 as Martins Ferry Hospital, EORH has a long-standing tradition of providing quality, compassionate, and state-of-the-art family-centered healthcare. Over the years, the hospital has expanded its services to include a wide range of medical specialties and outpatient services, catering to the diverse needs of the Ohio Valley community.

EORH offers a comprehensive array of services, including:

• Emergency department services: Featuring the EMSTAR program, which provides emergency medicine, shock, trauma, and resuscitation services.
• Surgical services: Including general surgery, orthopedics, gastroenterology, and gynecology.
• Inpatient & DRA services: Delivering comprehensive inpatient care supported by Diagnosis Related Adjustment (DRA) services to ensure appropriate reimbursement and financial stability.
• Outpatient services: Such as lab draws, IV therapy, wound care, and physician procedures.
• Primary care services: With same-day appointment availability and personalized care from providers conveniently located in the heart of the Ohio Valley.
• Skilled nursing facility: For patients requiring extended care.

In the face of significant revenue challenges, EORH sought to optimize its revenue cycle management processes. The hospital partnered with blueBriX, a trusted provider of RCM solutions, to address issues related to emergency room (ER) coding inefficiencies, which were identified as a major contributor to revenue leakage. Through a comprehensive audit and targeted interventions, blueBriX worked closely with EORH to streamline coding practices, reduce denials, and enhance overall financial performance.