Case Study: Commonwealth Home Care achieves $180 more per episode with Enzo AI-assisted ICD coding

Commonwealth Home Care adds $180 per episode with Enzo Health

Commonwealth Home Care, a fast-growing regional home health agency, was experiencing revenue leakage due to its manual, spreadsheet-heavy diagnosis coding process. This led to depressed case-mix weights, significant audit exposure from payers, and an expensive $500,000 annual workaround. They partnered with Enzo Health and implemented its AI-assisted ICD coding engine to address these challenges.

The solution from Enzo Health involved its AI and certified reviewers scrubbing documentation to surface overlooked secondary comorbidities, raise case-mix weight, and defend every code for PDGM integrity. This resulted in an average of $180 more revenue per 30-day episode, an annualized revenue opportunity of ~$1.5 million, and a dramatic reduction in audit requests. Enzo Health's implementation also displaced the costly manual process that was previously in place.

Commonwealth Home Care