Results & Case Studies
See how we've helped New York practices improve revenue, reduce denials, and strengthen legal documentation.
Challenge
High surgical claim denials (25%+ denial rate) and documentation gaps affecting revenue. Practice was losing significant revenue due to coding errors and incomplete documentation.
Our Approach
Comprehensive coding audit of 500+ cases, workflow improvements, and physician education on documentation requirements. Implemented regular coding reviews and established clear documentation templates.
Result
Reduced denials by 60% within 6 months. Improved first-pass payment rates from 75% to 92%. Increased monthly revenue by approximately $45,000 through improved coding accuracy and reduced denials.
Challenge
Complex multi-level procedures leading to coding errors and under-coding. Practice was not capturing full value of complex spine procedures, particularly in Workers' Comp cases.
Our Approach
Specialized coding support for complex spine procedures including multi-level fusions, decompressions, and instrumentation. Regular documentation reviews and coding audits. Education on proper modifier usage.
Result
Improved accuracy in coding complex procedures by 85%. Increased revenue capture by 30% through proper coding of multi-level procedures. Reduced coding-related denials to less than 5%.
Challenge
No-Fault and Workers' Comp claims requiring legal affidavits and rebuttals. Practice was struggling with incomplete documentation in arbitration cases, leading to unfavorable outcomes.
Our Approach
Expert affidavit preparation and legal documentation support for 40+ arbitration cases. Comprehensive documentation reviews and rebuttal preparation. Coordination with legal teams to ensure strong case support.
Result
Stronger legal position in disputes with 90% favorable outcomes in arbitration. Improved claim resolution rates by 50%. Reduced time spent on legal documentation from 20+ hours per case to 5 hours with our support.
Challenge
High-volume surgical coding creating bottlenecks and delays in claim submission. Internal coding staff overwhelmed, leading to coding errors and delayed revenue.
Our Approach
High-volume coding support handling 700+ operative reports per month. Streamlined workflow integration with existing billing systems. Quality assurance processes to ensure accuracy.
Result
Eliminated coding bottlenecks and reduced claim submission delays by 70%. Maintained 98% coding accuracy rate. Improved cash flow through faster claim processing.
Challenge
Inconsistent coding quality across multiple providers and specialties. Lack of standardized processes leading to compliance risks and missed revenue opportunities.
Our Approach
Standardized coding processes across all providers. Regular documentation audits and physician education. Centralized workflow management and quality control.
Result
Achieved consistent coding quality across all providers. Identified and captured $120,000 in previously missed revenue through comprehensive audits. Reduced compliance risks through standardized processes.