Children's Hospital of Pittsburgh Identifies $1.5M in Underpayments using Alliance Decision Support^®

The Issue
Avega's client, Children's Hospital of Pittsburgh (CHOP) - a 235 bed pediatric facility in the Northeast - had identified grossly inadequate DRG payments for a population of neonate patients treated in their Neonate Intensive Care Unit (NICU).  Their goals: i) Identify the specific cases and research the details of the cases, ii) identify the "fix" needed to obtain appropriate reimbursement, and iii) develop a standard for going forward with future contracts negotiations.

What was the solution?