Improved Revenue and Compliant Coding with IKS CDI Solution

American Spreadsheet Data Analyst

Client Profile:

This network of academic medical centers and teaching hospitals, spanning 14 locations, is enhancing clinical outcomes and ensuring accessible healthcare for all.

Challenge:

  • Coding compliance and precision while consistently adapting to revisions in coding and telehealth guidelines
  • Needed a reliable and efficient medical coding partner to support rapid scaling and expansion while maintaining revenue stability

Approach:

  • Analyzed historical coding patterns while identifying documentation gaps and areas requiring intervention
  • Established clinician-level benchmarks on coding patterns and ICD-10 capture rates, and then compared to adjusted national benchmarks
  • Developed a mechanism for reporting and governance to evaluate clinician-level performance, post IKS coding solution implementation, focused on RVUs per visit, E&M levels, and screenings coded per visit

Results:

  • Identified patterns for clinical documentation improvement (CDI) as CDI experts shared regular feedback with physicians
  • Ensured documentation gap closures, thus improving coding compliance

To learn more about IKS Revenue Optimization, contact us today at info@ikshealth.com

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