Dave Hennigan Sager Chowlera  Presbyterian Healthcare Services
used data-mining technology to help curb revenue loss and
recover millions of dollars in underpayments.  At a Glance
Using a data-mining tool to improve its underpayment recovery
process, Presbyterian Health Services in Albuquerque, N. M.,
achieved the following results:    • Recovered $8.21 million in
less than eight months of implementation and an additional $17
million in the 12 months that followed     • Increased staff
productivity by 100 percent in less than six months, allowing
auditors to resolve 40 to 50 claims per day versus 20 per day
prior to implementation    Current regulatory and financial
pressures require hospitals to operate with greater
transparency, accountability, and efficiency. To remain
competitive and help address these pressures, Presbyterian
Healthcare Services, a 1,150-bed system in Albuquerque, N.M.,
recently overhauled its procedures for underpayment recovery.
The system's underpayment recovery process had long been