Coding Quality of Nephrology Practice Reached 98%

The Client

The client is a Nephrology specialty based in the US.

The Challenges

• Significant problems while coding. 
• Massive revenue loss.
• High compliance audit risk.
  

Plutus Health Plan

Plutus Health Inc started its work by comprehending the problems. 

Issues Detected

• Wrong codes used for in-house billing.
• Incomplete telehealth documentation.
• Improper diagnosis code used.

After detecting the problems, we implemented the solutions to address the issues and streamline the process.

We designated certified coders from the Plutus Health team, who helped improve documentation. Coders analyzed the exact level of service and gave suggestions to avoid Undercoding and Overcoding in the procedures.

The Plutus Health team then provided key documents for diagnosis and combination codes to capture more specific results. This improved documentation helped the organization meet Telehealth service requirements.

Results 

Plutus Health Inc. gave education & feedback to physicians, streamlined coding practices, and provided documentation guidelines to improve coding accuracy. We enhanced the coding quality and lowered the errors.