Case Studies
Case Study: Heart Failure Denial Overturned For $169K Reimbursement
Clinical denials are rising sharply, now costing U.S. health systems over $20 billion annually in unrecovered reimbursement. Among the leading drivers of these denials are heart
Case Study: Provider Audit & Provider Education Program (PEP) Transforms Coding Operations
Overview Our client is a comprehensive healthcare facility providing a wide range of inpatient and outpatient services, ranging from emergency medicine and cardiology, to pediatrics
Case Study: Outsourcing “Unappealable Denials” Recovers $4M for Large U.S. Health System in First Fiscal Year
Client Challenge Our client is a large U.S. health system with multiple hospitals. Over time, they began to face a significant rise in what they
Case Study: Clinical Charge Audit Reveals 33% Error Rate After Hospital System Implements New EMR
Client Challenge Our client is a large U.S. medical center with over 350 beds. After implementing a new EMR system, our client began to experience
Case Study: Coding Compliance Partners Transform Coding Operations of Large U.S. Health System
Overview Our client is a nonprofit, academic medical system in the U.S. with over 2,000 beds. To reduce expenses, and focus attention on other internal
What Clients Are Saying About Us
One of Managed Resources’ key strengths is communication; they are always communicating with us. They are always willing to get on the phone and provide their expertise. Even if we are struggling to write an appeal ourselves, they will help us navigate that and maybe provide language that will bolster the appeal’s outcome depending on the circumstances. – Director
Thank You, Thank You!! I found myself in a huge bind. Inpatient and outpatients accounts in backlog. Reaching out to you saved me. Not only did they provide High Quality Experienced coders, they got my backlog under control/caught up in no time.
I can honestly and without hesitation declare these to be the absolute finest, most thorough, comprehensive and convincing clinical appeal letters I have ever seen in my 25+ year career as a hospital revenue cycle leader.
We were really pleased with attention to detail that was provided to us in the review of clinical appeals management and charge capture It was clear to see that your team knew what they were doing!
The Managed Resources clinical appeals team have been excellent to us! Not only in having such a positive impact in recovering appropriate reimbursement for denials, but for their personal and timely approach to sharing educational tools with us to help prevent future denials. They really provided us with a high quality of service.
These are these are great findings… really, really happy with it. This is exactly what we were hoping to get, this type of information to take back. Super happy with these results, and that we had substantial findings that we can take back to our teams and show to our executives.
CodingAID has worked with our physicians to provide valuable and timely coding and documentation education