Resolving Hospital Inpatient and Outpatient Coding Challenges for One of the Nation’s Top Health Systems

Inpatient and Outpatient Coding for a Health System

EXECUTIVE SUMMARY

One of the nation’s top health systems with six (6) hospitals and over 50 outpatient clinics, spread across Maryland, D.C., and Florida, had challenges around inpatient (IP) and outpatient (OP) coding.

Among the world's leading academic and research centers, this health system sees over 150,000 inpatient discharges and more than 2,000,000 outpatient visits annually, with over $7 billion in annual revenue.

Access Healthcare deployed an expert team of coding, CDI, and revenue integrity specialists to improve coding accuracy, reduce DNFB by capturing all billable services, perform concurrent and retrospective audits to detect revenue leakage and improve compliance.

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