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Reduced Denial Rates, Achieved 98% Accuracy in Medical Record Documentation in 1

Find out how this US-based multispecialty healthcare provider dramatically reduced its claim denial rates and achieved 98% accuracy in medical documentation. Click here for the case study.

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Reduced Denial Rates, Achieved 98% Accuracy in Medical Record Documentation in 1

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  1. CLIENT CASE STUDY Reduced denial rates, Achieved 98% accuracy in medical record documentation in 1 month Type of Organization Multispecialty Hospital Size of Organization 7,500 Employees Location Multiple locations across the United States Engagement Period 6 Months

  2. The Challenge/Opportunity High claim rejection rates and delays in processing medical claims due to inconsistencies in medical coding Lack of appropriate diagnoses codes and other medical necessities leading to claims being denied Inability to handle volume spikes due to a lack of back- ups for trained resources High salary costs associated with new hires

  3. HelioNext Solution Assigned subject matter expert to handle coding assignments. Identified key contributing factors for claim denials. Streamlined processes by preparing practice specific coding policy. Facilitated effective client communication via emails and telephonic conversations. Escalated issues on-time and suggested permanent solutions. Facilitated seamless offshore processing

  4. Results Decreased rate of rejections almost immediately Achieved 98% accuracy with regards to medical record documentation Ensured compliance, reduced backlog and increased client satisfaction Facilitated the clearance of all pending volumes with a 24-hour-TAT Improved capacity management to help client pursue aggressive growth Secured coding assignments of 4 other specialities through well-organized performance

  5. Reimagine. Evolve.

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