Case Study

Southeastern healthcare organization increases compliance and charge capture for observation care

Southeastern healthcare organization increases compliance and charge capture for observation care

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Organization • General medical and surgical hospital • Southeastern US • <300 beds • 23 physicians • <60K ED visits per year • <6000 observation visits per year Solution Spotlight • McKesson Intelligent CodingTM • ED Facility module: Live 2013 • Observation module: Live 2013 • Data Link: Live 2012 Image Feed: Live 2012 • Horizon Clinicals® Critical Issues • Missed opportunity for charge capture • Manual processes that needed to be automated • Uncertain compliance with complicated coding rules Results • Increased injection/infusion revenue by 685% • Improved per claim reimbursement • Decreased bill drop turnaround • Eliminated manual processes Southeastern healthcare organization increases compliance and charge capture for observation care Case Study Coding and billing of

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