Efficiency Unleashed: A Case Study on Arintra's Seamless EHR Integration
Client Overview
The client is a large healthcare organization consisting of a health system, a management services organization (MSO) with 3800 providers, and a prominent physician group. The organization provides a wide range of healthcare services to patients across the United States.
Challenges Faced
Inefficient Coding Processes: The organization's manual coding processes were time-consuming and prone to errors. Coders often struggled to keep up with the volume of coding required, leading to delays in claim submission and reimbursement.
Integration Issues: The organization's existing EHR system did not fully integrate with their coding processes. This lack of integration resulted in disjointed workflows, as coders had to switch between systems to access patient information and assign codes.
Compliance Concerns: Ensuring compliance with regulatory standards, such as HIPAA, was challenging due to the manual nature of the coding processes. The organization needed a solution that would automate compliance checks and ensure that coding practices met regulatory requirements.
Arintra's Solution
Arintra's AI-powered autonomous coding solution offered a comprehensive solution to the organization's challenges. By seamlessly integrating with their existing EHR system, Arintra streamlined the coding process, reducing errors and improving efficiency.
Implementation
The implementation of Arintra's solution involved collaboration between the organization's IT and coding teams. Arintra was configured to work with the organization's existing EHR system, ensuring a seamless integration process. Training sessions were conducted to familiarize staff with the new system and ensure that they could use it effectively.
Results
Improved Efficiency: Arintra's integration with the EHR system significantly reduced the time taken for coding. Coders were able to complete coding tasks more quickly, allowing them to focus on more complex cases that required their expertise.
Reduced Errors: The automation provided by Arintra led to a reduction in coding errors. The system's advanced algorithms helped coders assign codes more accurately, reducing the risk of claim denials and ensuring that patients received the appropriate care.
Streamlined Workflows: Integration with the EHR system streamlined workflows, eliminating duplication of efforts. Coders no longer had to switch between systems to access patient information, improving overall operational efficiency.
Enhanced Compliance: Arintra's detailed audit trails and compliance features ensured that the organization remained compliant with regulatory standards. The system automatically checked codes against regulatory guidelines, reducing the risk of fines and penalties.
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Overview
A large provider organization in the United States, with a monthly visit volume of 231,360, faced several challenges in their revenue cycle. Adopting Arintra's AI powered autonomous medical coding solution brought a significantly positive impact from November 1 to November 30, 2022, marking a transformative change for the organization.
Challenges
- 75% physician coded charts were billed directly
- 10% denial rate
- High volume low dollar claims
- Massive coding backlogs
- Shortage of medical coders
These challenges collectively resulted in an annual loss of $12 million for the provider organization.
Solution
Arintra’s powerful autonomous medical coding technology addressed these multifaceted challenges by leveraging deep learning, NLP, clinical LLMs and generative AI. The seamless and secure bi-directional integration with the provider organization’s existing EHR required zero IT lift and ensured zero workflow change. Arintra autonomously processed every patient chart, consistently applied business rules and generated precise direct-to-billing charges and codes. It automated an impressive 696 charts per hour, significantly expediting the coding process. By automating the routine coding tasks, Arintra freed providers from coding workload and gave them more time to provide optimal patient care.
Results
Arintra addressed all the challenges and increased the average monthly revenue by 4% for the large provider organization. A significant 41% drop in claim denial rate showcased Arintra's prowess in enhancing coding accuracy. Moreover, Arintra's implementation led to a commendable 22% reduction in coding backlogs, ensuring a smoother workflow.
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Coding accuracy
Reduced coding denials
Time saved for providers
Reduced A/R days
Cost savings
Faster turnaround time
