Case Study: a Fortune 500 primary care organization clears a two-month coding backlog with Advantum Health

Fortune 500 Primary Care Organization clears coding backlog in 60 days with Advantum Health

A Fortune 500 primary care organization was facing a two-month backlog in medical coding across hundreds of sites, which stalled claim submissions, delayed reimbursements, and left leadership without visibility into performance or risk. Advantum Health was engaged to address these medical coding operations.

Advantum Health rebuilt the coding operation end-to-end by aligning staffing to volume, installing a continuous quality assurance framework, and implementing new operational reviews and executive reporting. Within 60 days, the backlog was cleared, turnaround time was stabilized at two days or less, and coding accuracy reached 97 percent. Coding-related denials were eliminated entirely, restoring cash flow and providing leadership with the necessary tools to sustain performance.