The Distinct Advantages of Medical Coding Around the Clock
How to Maximize Productivity and Efficiency Medical coding is essential to the financial health of hospitals and health systems, translating patient care into billing codes that ensure proper reimbursement. However, the current labor market reveals a 30% shortfall in qualified coders, making it increasingly difficult for healthcare providers to recruit and retain skilled and credentialed […]
The Intricacies of Women’s Health Coding for Maternal Care and Childbirth
Poor coding quality is costly, leading to denied claims, care delays, and inaccurate or slow reimbursement. Recent research finds that more than 15% of claims submitted to private payers are denied, although more than half are eventually overturned. This means providers spend excessive time appealing claims that should have been paid in the first place. […]
Risk Adjustment Coding: Addressing Accuracy, Quality and Productivity
About the Client Organization A world-class academic healthcare system with three highly regarded hospitals, physician practices, home hospice care, and various other support services located in the Eastern U.S. Challenge The health system had previously used a single revenue cycle vendor for risk adjustment coding. With the arrival of COVID, the organization decided it needed […]
Revenue Cycle Management and Coding Services
About the Client Organization A leader in homecare, palliative, and hospice services committed to enhancing the quality and consistency of healthcare delivered at home. With locations in Florida, Illinois, Michigan, and Pennsylvania, the organization serves patients and their families across seven states. Challenge The Home Health Patient-Driven Groupings Model (PDGM), which was released on January […]
Utilization Management Services Improve Case Handling Time and Reduce Management Cost
Fortune 500 National Health and Wellness Organization
Utilization Review Solution Scales Clinical Teams and Reduces Medical Management Cost
Nations Leading Third Party Administrator
Concurrent Coding Solution Improves Quality and Eliminates Backlog
For a Level 1 Academic Trauma Center
