10 Feb Medusind’s Innovative Coding Solutions for Quick and Effective Scaling
The Big Picture
The largest urgent care company in the north east metropolitan area with more than 150 urgent care centers, the company employs over 700 physicians and mid-level practitioners, offering a full spectrum of high-quality primary, specialty, and urgent care services.
The Challenge
The wide spectrum of services delivered by this provider requires a vast number of codes for which its billing systems were not optimized. Inaccurate coding was resulting in consistent claim denials. This was impeding the provider’s ability to deliver the highest quality urgent care and continue its rapid expansion across the metro area with much-needed alternatives to local ERs.
The provider knew it needed more than run-of-the-mill outsourcing help. It needed an innovative coding leader that could work with them to create tailored coding solutions addressing their comprehensive services, as well as the billing processes and procedures that weren’t working.
The integration had to be smooth and efficient. There was no time for staff to retrain. Flexible systems had to work with existing medical billing software in North Dakota, Oklahoma, Oregon, South Carolina and other states. People, actual humans, not 800 #s or chat bots, would have to be available to provide support and to help develop new solutions whenever they were needed
The provider turned to Medusind.
Medusind Solutions
Poor documentation and coding: the root of all denials
Inaccurate documentation and insufficient coding expertise are expensive problems that go directly to the bottom line of a healthcare organization. Documentation deficiencies in the organization’s medical records were identified and reviewed, resulting in the development of medical record templates that meet all coding compliance requirements.
A system to address continuing code changes was also developed, resulting in improved accuracy of claim submissions.
Internal Tracking: unique solutions needed
Tracking No-Charge cases is as important as tracking payable claims. But identifying them internally can be challenging. Medusind developed new internal codes that accurately identified these cases.
Working smarter. Measuring it better
Medusind developed an effective Work Allocation process
User productivity was optimized through the creation of Short-Cut keys, and tracked effectively.
The Results
- A phase-wide transition was executed in 3 months
- All milestones were reached per the schedule
- Processing Turn-Around Time: 72 hours
- Accuracy - 99%
Learn More About Medusind
A proven leader in Revenue Cycle Management, Medusind delivers powerful technology combined with hands-on, problem-solving support from the most knowledgeable experts in the industry.
Medusind can help any size practice:
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- Eliminate the most time-consuming tasks
- Reduce administrative burdens
- Optimize efficiency and profitability
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From insurance eligibility and verification to denial management and reporting, Medusind medical billing services deliver the RCM help your practice needs to thrive in Ohio, Pennsylvania, New York and other states.
