CASE STUDY:

Coding Performance Oversight – Primary Care

Our Client consists of one high volume practice with four specialties. The Client is an active participant in government/commercial payer initiatives to deliver value-based care. They had not implemented a robust coding and clinical documentation program and recognized this as a key strategic area for performance improvement.

SCALE was engaged to build and manage the practice’s coding and clinical documentation ongoing monitoring, provider training, and education program.

Clinical Specialties

Clinical Services

Client Profile

Services Deployed

MSO & Practice Integration

Post-Audit EducationService Title

Revenue Cycle Management

SCALE provided strategies to assist our Client in providing clearer documentation & decrease confusion about DX addressed on each DOS.
We captured services that require specific documentation elements to be billable and mitigated the risk associated with documentation deficiencies.
We implemented a recurring, ongoing program for monitoring and improving performan

At re-audit, increased score due to incorrect documentation for audio-only telehealth. After implementing recommendations, achieved 100% score. Improved 23% then 37% over past quarter.

Let's SCALE together

SCALE Healthcare is based on the foundation of a singular focus – elevating management performance across healthcare services. We are focused on the entire suite of operational advisory and diligence services exclusively to healthcare service organizations, with local team presence across 10 states.

Unlike the many consulting firms that offer more narrow and often more impractical solutions borne of limited or very general expertise, we rely on our team of 75+ carefully selected senior operational healthcare experts to ensure we provide the most relevant and value added experience across the full range of management disciplines and clinical specialties that fall within healthcare services.

Coding Performance Oversight – Primary Care