UC San Diego Health wanted to generate clean claims, improve coding quality and lower professional fee pre-AR days. However, to do so, Cassi Birnbaum, UC San Diego Health’s system-wide director of health information management and revenue integrity, knew she had to address the disconnect between facility and professional services coders.
“We needed something that would help us break down the silos, break down the walls, break down the barriers—see what we can do to really leverage the great technology that we have on the facility side,” says Birnbaum. “In some cases, we’d be blindly coding out of a charge review work queue without any of the tools or integration, and then having everything drop to a series of edits to fire at the coder.”
96% clean claim rate
70%+ increase in productivity (radiology)
35% increase in productivity (procedural areas)
Less than 0.2% denial rate
95% accuracy rate
12% increase in HCC capture
Due to issues such as limited visibility into professional services productivity and increasing coding rework, Birnbaum was eager to reboot UC San Diego Health’s professional coding efforts and move toward the transparent coding environment of 3M™ 360 Encompass™ Professional. 3M’s workflow allows outpatient and professional services coders to work on the same record simultaneously. By creating a unified workflow, 3M 360 Encompass Professional offers increased visibility to professional coding teams and reduces the steps necessary to complete an accurate claim.
“Our professional coder productivity has gone up more than 70 percent in the radiology area, which far exceeded our expectations. The procedural areas have seen an average of 35 percent improvement in productivity." - Cassi Birnbaum, system-wide director, health information management and revenue integrity, UC San Diego Health.
With unified coding teams, UC San Diego Health can take new steps to streamline efficiency, including consolidating both teams under one leadership structure to bridge the organizational hierarchy gap.
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