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
