Client Overview:
A small family medicine practice in Georgia, facing high rates of coding errors that led to frequent claim denials.
Challenges Faced:
- Frequent coding errors leading to rejections
- Delays in reimbursement due to incorrect coding
- Inconsistent coding practices across multiple providers
PhysiAssist’s Plan of Action:
- Comprehensive Coding Audit: Conducted a thorough review of the practice’s coding practices, identifying frequent errors and areas for improvement.
- Real-Time Coding Assistance: Introduced AI-powered coding tools to assist coders in making accurate and compliant coding decisions.
- Staff Training and Workshops: Provided coding workshops to staff, focusing on best practices and payer guidelines for common family medicine procedures.
- Continuous Monitoring: Set up a system for ongoing auditing to ensure coding consistency and reduce errors in future submissions.
Results:
- Reduced coding denials to below 3%
- Increased reimbursement efficiency
- Improved practice revenue with accurate and timely coding