A retrospective analysis using comorbidity detecting algorithmic software to determine the incidence of International Classification of Diseases (ICD) code omissions and appropriateness of Diagnosis-Related Group (DRG) code modifiers

We’re thrilled to share recent peer-reviewed findings showcasing how Extrico Health’s technology uncovered $22.7 million in missed revenue opportunities and drives measurable improvements in hospital financial health, operational efficiency, and health equity.

The Highlights:
Leveraging Extrico Health’s advanced, rules-based algorithms, UCLA reviewed over 34,000 admissions for 19 key CCs and MCCs.

• Significant Coding Gaps: Over 33% of admissions were found to be missing at least one critical co-morbidity. High-impact conditions, such as acidemia and delirium, were overlooked in over two-thirds of cases.
• Unbilled Revenue Uncovered: 1,990 cases with incorrect DRG assignments due to missing co-morbidities revealed $22.7 million in unbilled revenue.
• Under Coding Implications for Health Equity: Disparities in coding accuracy were uncovered, highlighting that undercoding is more prevalent among historically marginalized groups.

Real Results Without Added Burden
Extrico’s software identified cases with an average potential revenue of over $11,000 each all automatically. This approach saves time and effort while delivering critical insights.

The Bigger Picture

• Accurately capture patient care complexity
• Align data with financial and operational goals
• Support quality improvement and equity initiatives with better data

Why Extrico?

• Risk-Free: We only get paid based on what we recover for you.
• Fast Implementation: Minimal IT resources, live in just months.
• Proven Results: One flagged chart at UCLA revealed more than $11,000 on average—without time-intensive manual reviews.