This very efficient Democratic Emergency Medicine group based in northeastern Indiana was concerned that they, conversely, had a series of inefficient processes that were causing the group to lose a considerable amount of revenue. DuvaSawko agreed to perform a complete audit of their operations to determine if all coding initiatives were being performed efficiently. The group also wanted to identify if there was any additional money being left on the table through their inefficient collection costs. The audit identified several opportunities for coding improvements. Furthermore, their costs associated with performing their emergency medicine billing and coding services in-house was over 25% higher than it should be. DuvaSawko’s Dedicated Account Management team was able to perform a smooth transition in a quick and efficient manner resulting in a 21% increase in RPP.