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Client StoryMidwest Based Medical Group

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Why the Partnership?
Since the first engagement in 2012, we've built a solid partnership with our client and continually change the context of the agreement in order to fit their needs. In 2014, MediRevv worked as an extended business office when they completed a system conversion to EPIC, and we have picked up additional projects as needed. We enjoy our ongoing relationship and look forward to future engagements to improve revenue cycle and coding.

 

 

The Challenge

Like most coding operations, our client's coders were never short of tasks to tackle. Front end production coding and edit resolution often took priority over working denials. Before long, they faced a sizable denials backlog they knew they needed to stomp out. 

The Solution

Quickly Work Through Backlog

Our client had already determined the goals for this backlog project, and MediRevv wholly agreed. They couldn’t have been more clear or straightforward:

  1. Work through the coding denial backlog as quickly as possible.
  2. Identify trends to eliminate edit denials and provide education opportunities.

MediRevv carefully analyzed volumes, then hand-selected each MediRevv coder for the coding denials project. We tapped our strong, proven processes to train and ramp up our coders to work in our client’s system and serve as an extension of their internal coding team. In doing so, we quickly set the stage to achieve—and surpass—the established goals.

Finding Flexibility and Value

The project began with four full-time MediRevv coders who focused solely on the task of catching up on over 12,000 coding-related denials. Over time, five additional coders were added to work down the backlog. Having the right number of MediRevv coders available offered our client previously unattainable flexibility. While MediRevv’s team slashed through the denials backlog, and our client kept their own team focused on production coding, thereby avoiding the expense and hassle of redirecting and training their existing staff for
project-based work.

Alongside that flexibility, they also discovered MediRevv’s mastery of coding quality and efficiency. We document all processes and workflows, making it quick and simple to target problem areas and take appropriate actions to prevent work duplication and streamline the workflow. Turns out, this was something our client decided they couldn’t live without.

Testimonial What Our Client Said

Director of Patient Financial Services

Chicago, IL
This used to be one of the things that kept me up at night. I truly appreciate the work that has been completed over 6 months to reduce the inventory in these work queues from a high of $7.7M to the current amount of ~40K.
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The Results

MediRevv’s quick resolution on the denials project helped our client understand how an active denials management strategy could yield continual revenue for the correctly-coded services. As the backlog goals were accomplished and the work tapered off, it was easy to flex the number of coders again, this time from nine full-time MediRevv coders to the current number of five full-time coders. Today, denials are worked as they occur by the right number of MediRevv coders, with the option to add or subtract coders from the engagements as deemed necessary by business need.

The overall results validate both the process and the participants:

  1. The denial backlog was resolved quickly, efficiently and sooner than the target goal.
  2. Trends were identified to prevent future denials.
  3. MediRevv’s proven processes were implemented for quality assurance, which sped payer reimbursements.
MediRevv’s partnership with this client—and every client—is founded on trust, and it’s built to last.

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Read how we slashed our client's backlog of medical coding-related denials with ease and speed.
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