Case Study - Outsourced Medical Coding

70,000 Charts Coded Per Month, Accuracy and Turn Around Time KPIs Guaranteed and Delivered

charts coded per month

PERSPECTIVE

Outsourcing medical coding has become common among healthcare providers and medical billing companies. The ability to scale effectively, and provide a highly educated workforce and a dedicated team of coders has led to cost savings and more efficient processes. However, many companies still struggle with finding the right, trusted partner for this critical discipline of revenue cycle management.

 

SITUATION   

A company that provides ER documentation and coding software to hospitals and clinics has been using multiple 3rd party vendors to provide coding services to their customers. Managing multiple vendors and adhering to deadlines hindered delivering the best possible service to the hospitals, physician groups, and clinics they serve. They needed a single partner that could scale to meet their customer’s needs, ensure accuracy and turn-around times were met, and provide transparency throughout the process, making the relationship easier to manage.

 

OBJECTIVES

Simplify the coding process while ensuring accuracy and turnaround times goals to enable business growth.

 

SOLUTION

Access Healthcare now successfully processes nearly 70,000 charts per month with an accuracy rate of 97% or higher. Access Healthcare requires at least 95% accuracy from their coders, performs regular audits, and conducts weekly competency tests. Access Healthcare quickly became the company’s primary coding services vendor, handling most of their customer’s coding needs. The Access Healthcare arc.in technology platform provides its customers complete transparency at every step, decreasing the time the customer spends on vendor management. Within the arc.in the platform, they can track audit and competency scores, see who’s working on their account, and view workflow summaries. In addition, Access Healthcare coders can use the client platform to access charts and reports, providing seamless integration for the customer. The most significant result was the decrease in turn-around times. The KPI commitment is 72 hours. However, Access Healthcare averages 48 hours. This means claims can be filed in a timely manner, along with accurate coding, leading to fewer claim denials and the end customer being paid faster for the services they provide.

 

CONCLUSION

The company increased accuracy and decreased turnaround times, all while using less of their own time and resources to manage the relationship. This enables their people to spend time on the relationships that truly matter and deliver better care for their customers.


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