Rescuing Revenue: How Harmony Transformed a Mississippi Health System’s Financial Outlook
A 700-bed healthcare system in Mississippi faced a dire financial crisis, jeopardizing millions of dollars in revenue due to significant cash flow issues caused by a former offshore coding services vendor. Challenge The health system was at risk of substantial revenue loss and potential non-compliance penalties due to a large backlog of uncoded accounts. The previous offshore coding vendor failed to scale their staffing and lacked the qualified talent to meet the necessary quality and production standards. The client quickly realized they lacked the internal resources to address this problem in time. Without timely coding and billing, they faced reduced…
Enhancing Efficiency & Financial Stability: Physician Advisory Services by Harmony Healthcare
Calvert Health, an 80-bed hospital in rural Maryland, required physician advisory services to enhance their utilization management process. The goal was to optimize regulatory compliance, clinical documentation, and revenue protection. Challenge Calvert Health, a small non-profit hospital, underwent significant change in a three-year period, including new processes, management, and staff. Through the changes, operational efficiencies and departmental initiatives fell to the wayside. The new leadership team escalated the needs of the department and through a departmental review by Harmony, we uncovered missed opportunities in their utilization management and documentation practices. Hospital leadership understood the current documentation and undefined escalation process…
3 Takeaways From My Tenth ACDIS – The Progression of the Industry
The Clinical Documentation Integrity (CDI) profession is relatively new. By my unverified accounts, it began in the late 1980s, shortly after Diagnosis Related Groups (DRGs) were used for hospital reimbursement. It took another 20 years to gain traction and become a professional industry, with ACDIS formally launching in 2007. In healthcare, change is constant, and like many other business functions, CDI continues to evolve. I consider myself and Harmony Healthcare as proud members of the CDI community, and we left Indianapolis feeling grateful and a bit nostalgic. The industry’s progress is highlighted every year at the national show, and after…
