Back to all health system case studies
How an 920-bed Health System Achieved 81% Autonomous Inpatient & ED Chart Filing in 90 Days
81%
Autonomous Direct-to-Bill
Achieved in Month 3
97.2%
Audit Accuracy
External 3rd-party HIM audit
-65%
DNFB Time Reduction
Dropped from 6.8 to 2.4 days
$3.4M
Annual Operational Savings
Eliminated expensive offshore agency fees
The Clinical & RCM Challenge
Facing a 28% HIM coder vacancy rate and a $4.2M backlog in unbilled outpatient surgical and ED charts, the health system was experiencing 6.8 days in Discharged Not Final Billed (DNFB) time. External outsourced coding vendors produced unacceptable error rates (14% audit failure).
The Nousvia Autonomous Solution
Implemented Nousvia Autonomous Medical Coding integrated directly into Epic Hyperspace via SMART-on-FHIR. Nousvia began by shadowing coders in the Emergency Department, validating accuracy before switching to direct-to-bill mode for all encounters exceeding 95% confidence.
“Nousvia solved our HIM staffing crisis without sacrificing clinical compliance. The AI reasons through our complex operative notes with precision that impressed even our most veteran coding auditors.”
Kathryn M., RHIAVP of Revenue Cycle & Health Information Management • Midwest Regional Health System