Case Study: Palomar Health boosts ICD-10 coding performance with Sutherland Global Services

Palomar Health - Customer Case Study

Palomar Health, a major healthcare provider in Southern California, faced the significant industry-wide challenge of transitioning to the ICD-10 coding system. Doing so in-house would have required large, uncertain expenditures on training and staff, while traditional outsourcing would have lacked pricing and production transparency. They partnered with Sutherland Global Services to find an efficient and cost-effective solution.

Sutherland Global Services implemented a customized, end-to-end solution that included training Palomar's coders, right-sourcing certified coders from global locations, and providing centralized management with complete transparency through on-demand dashboards. The results were impressive, including a coder production increase to 95%, a drop in Discharged Not Final Billed (DNFB) from $70 million to $17 million, and a cash flow improvement of nearly $30 million. Sutherland's partnership delivered the flexibility and outcomes-based pricing that ensured Palomar Health's successful transition.

Palomar Health