Case Study

Case study: Creating a one touch process at Southcoast Health

Case study: Creating a one touch process at Southcoast Health

The challenge Prior to working with 3M, Southcoast Health created a system to help with coding errors. This process utilized a third party vendor to identify potential coding errors (via flags) at the end of the coding session. The system then required a review process to determine if flagged errors should be sent to coding to correct or released for billing without review. The process was time consuming and cumbersome. With a range of 50 – 100 flagged encounters, the dedicated reviewer at Southcoast Health was under a lot of pressure to quickly review encounters and maintain a targeted release time for bill submission. This process left the organization vulnerable to delayed claim submissions, or errors leading to potential over coding, under coding, or worse case, denials. Loo

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