MEDICAL CODING CASE STUDIES

Let our coding case studies & solutions inspire you

Our Featured Medical Coding Case Studies provide an in-depth review of challenges with coding quality, reimbursements, rework, compliance, etc. Conducting audits, evaluations, and implementation plans are inherent components of any effective solution. If you're searching for medical coding case studies with answers for your organization, then look no further. Learn more about our great clients, our approach, and the effective results obtained.

physician practice compliance

Physician Practice Charge Entry Compliance Plan eBook

For physician groups, maintaining compliance is essential. Learn how to develop and implement robust compliance plans specifically designed for physician groups, addressing the unique challenges of provider-entered charges. This comprehensive eBook offers practical strategies, action plan items, and compliance plan checklists that align with industry standards and OIG recommendations, ensuring effective compliance efforts.

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HEALTHCARE MERGERS & ACQUISITIONS DUE DILIGENCE AUDITS EBOOK

The healthcare industry sees hundreds of facility acquisitions and mergers every year. A critical part of mergers and acquisitions is the due diligence process. This eBook serves as a guide for medical practitioners and healthcare organizations to navigate the complexities of mergers and acquisitions, due diligence audits, and medical practice valuation.

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healthcare m&a due diligence audits
healthcare compliance program

Healthcare Compliance Plan eBook

Hospital decision-makers face complex challenges related to compliance, making it essential to have a well-crafted plan in place. This eBook offers a comprehensive overview of the fundamental elements required for an effective compliance plan, including data governance, risk assessment, education and training, auditing and monitoring, and incident response.

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INPATIENT CODER & NEW GRAD DEVELOPMENT PROGRAM CASE STUDY

The Inpatient Coder Development Program is an immersive curriculum that spans over 9-12 months. The program includes practical education, hands-on Inpatient medical coding training, and mentoring from experienced coders. The goal of the program was to address the perceived need for a change in the way medical coder training is approached, bridge the gap between new graduates and facilities, and build new relationships while strengthening existing ones.

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inpatient coder development program - inpatient medical coding training online
medical coding radiology case study

Radiology Coding Backlog Case Study

After 15 months coding the encounters in the client's backlog, we found there were only 500 encounters left daily, effectively meeting the client’s target goal of less than 1,000 encounters. During the Radiology Coding Backlog Case Study, our YES Team developed and implemented internal documentation and coding processes to successfully reduce the client’s backlog by 86 percent.

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SEVERE MALNUTRITION STANDARDIZATION & IMPROVEMENT CASE STUDY

The Severe Protein Calorie Malnutrition Standardization & Improvement Plan case study presents the best approach to address severe protein-calorie malnutrition coding compliance with the Office of Inspector General (OIG), and the solutions we have designed for documentation review standardization and medical coding quality assurance.

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icd 10 code for severe protein calorie malnutrition
improve professional fee coding quality case study image - medical coding case studies with answers

ProFee Coding Quality Case Study

We studied the performance of professional services coding teams for 33 months, from 1QY1 to 3QY3. Our YES Team developed and successfully implemented this coding accuracy improvement plan with outstanding results, accomplishing long-term and scalable increase in CPT Accuracy, DX Accuracy, and Coder Retention.

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IMPACT OF AUDITING AND CODER MENTORING PROGRAM ON ACCURACY

No matter how seasoned your coders may be, coder mentoring is a solution that ensures your team continuously performs at the best of their abilities. This case study presents information gathered throughout a 24-month period, with the objective of highlighting the direct impact on coding teams’ coding quality levels (from medium to large health systems), through the implementation of a standardized Coder Mentoring Program.

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