Case Study

Multi-Hospital Health System Uncovers Over $4M/Year In HCC Medicare Advantage Revenue With Clinical Documentation Improvement Solution

Multi-Hospital Health System Uncovers Over $4M/Year In HCC Medicare Advantage Revenue With Clinical Documentation Improvement Solution

www.harmony.solutions Missing revenue opportunities are significant contributors to the financial pressures facing healthcare providers. To address such concerns and discover lines of revenue means evolving process management as well as maximizing reimbursements. While this multi-hospital health system prepared its physicians with a comprehensive ICD-10 implementation strategy, the organization recognized an opportunity to further improve outpatient performance to meet the needs of its growing organization. THE CHALLENGE This 4-hospital system located in the Midwest is a nationally known acute care organization with 500 beds and 250 providers. It was concerned about its Hierarchical Condition Categories (HCC) reporting. It recognized there were missing opportunities to

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