Case Study: a leading healthcare system improves coding accuracy and increases reimbursement with GeBBS Healthcare Solutions

Healthcare System Improves Coding Quality and Optimizes Reimbursements

a leading healthcare system in Florida partnered with GeBBS Healthcare Solutions to address significant challenges. Their health information management team was understaffed, and their coders were untrained for the ICD-10 transition, which led to coding inaccuracies and a struggle to manage their discharged not final billed (DNFB). They also lacked quality assurance from their existing vendors and were implementing a new computer-assisted coding (CAC) system.

GeBBS implemented its iCode Assurance solution to perform comprehensive and focused audits, identifying weaknesses in coding and clinical documentation. They also provided crucial staffing support and delivered bi-monthly quality assurance reports. This partnership improved the client's overall coding accuracy from 93.5% to 95.8% and increased their case mix index (CMI). The solution captured over $350,000 in missed revenue and optimized reimbursement, leading to a 5% increase in overall reimbursement and a 9% reduction in rebills for the healthcare system.