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Memorial Health System Triples Appeal Capacity
Cofactor partnered with Memorial to bring structure, speed, and visibility to their DRG workflows. What began as a solution for operational backlog quickly became a strategic driver across revenue cycle operations and documentation workflows.
Adi Tantravahi
Dec 10, 20254 min read


Defend Against Sepsis Denials: A Root Cause Analysis for DRG Downgrades
DRG 871 sepsis downgrades represent 70% of hospital revenue loss, but they're preventable. Payers deny claims lacking SOFA scores, trending lactate, and organ dysfunction data. This guide reveals root causes from EMR gaps to training deficits, plus your implementation roadmap: EMR order sets, pre-bill reviews, role-specific training, and KPI tracking. Turn your biggest denial risk into revenue protection.
Adi Tantravahi
Jun 20, 20257 min read
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