Gastro Surgery Case Study: Overview

BPC offer Risk adjustment services (Medicare HCC, HHS HCC, Medicaid CDPS) and RCM services (medical billing, medical coding, AR follow up) and other comprehensive medical outsourcing solutions.

Our services were required by Florida based hospital. They had 700 charts and wanted to do coding and audit for those charts within 3weeks.

The Challenge:

  • Client provided Coding Tool that was totally new for us.
  • It was necessary to add well experienced coders. Minimum 3-4yrs experience in surgery.
  • They needed our assistance in Aug 2022 for Coding and audit for 700 Gastro surgical charts, which had to be completed in three weeks.

The Solution:

  • We moved certified and experienced surgical coders and created dedicated team. They completed the coding & audit for 700 surgical charts in three weeks, as per the client’s requirement.
  • Calibration with client at every stage helped us a lot.
  • We were conducting team huddles daily for feedback, update.
  • Our training and QA team was well experienced which helped us to complete those charts in given time frame with accuracy.
  • Client was incredibly happy as it was much needed work for them as time was main issue for them. But we completed that work perfectly with accuracy in the provided timeline.


MRA Coding charts Case study: Overview

Our customer is a renowned medical billing company based out of Arizona, USA. They approached us to avail for Medicare Risk Adjustment Coding.

The client was looking for a service provider who could provide Medicare HCC coding service for their company.

They had 32000 charts in queue and needed to complete coding & audit within 6 weeks, while ensuring there were no delays in processing and without compromising quality.

The Challenge:

There were a few challenges our medical coding team faced during the project. They were as follows:

  • The customer required the work to be started immediately and expected us to produce desired results.
  • The software which was supposed to be used for the project was completely new, and our team of experts had to invest some time to get familiar with the tool.

The Project Proposal:

  • Our team put forward the following project proposal keeping the client requirements and the challenges associated with it in mind.
  • We decided to add HCC coders with minimum 2yrs of experience in Medicare HCC Coding.
  • We planned to create dedicated medical coding team.
  • A basic software navigation training and project training was provided to resources and taken assessments to check Coders understanding.
  • We prepared Quality, Feedback and update trackers and kept in shared drive where all coders can access daily updates and feedback from the client.

The Solution:

The following solution was provided by BPC to the Arizona based client based on their requirements:

  • We completed training for all resources and QA team. QA & Training team coded 10 charts for calibration and sent to client. To avoid knowledge gap between us and client. We got feedback for those 10 charts and we understood process in better way. We took update sessions for our team based on that and assessed them with test.
  • We were able to put together a certified and experienced HCC coding team. They completed the coding audit for 32000 charts in six weeks, as per the client’s requirement.
  • Our team was continuously in contact with client and giving them daily update about project progress.
  • We completed the project work within the given deadline. Client appreciated our team efforts and hard work.
cta

Partner With Us to Simplify Your Healthcare Billing

Get Started With Vammy Tech Today : Call Us Now