A Midwestern integrated healthcare organization serves communities across urban and rural areas through a network of hospitals, outpatient facilities, physician practices, and specialty care services. Known for its patient-centered approach and strong community presence, the system offers comprehensive clinical programs, including cardiovascular care, oncology, orthopedics, and behavioral health while supporting medical education and workforce development. The organization is recognized for quality outcomes and community engagement, and continues to invest in technology, care coordination, and operational innovation.
Recognizing the need to eliminate backlogs and improve professional fee coding and billing processes, the health system teamed up with AGS Health to deploy computer-assisted professional coding (CAPC) to accelerate and enhance coding and reduce time-to-bill.
Challenges
- Manual coding processes and staff shortages created a 35–40-day coding backlog, leading to downstream billing and collection issues.
- Siloed departments and spreadsheet-based reporting were inefficient and made it difficult to provide physicians and coders with timely feedback.
- Reliance on code books for coding reviews exacerbated billing delays.
Outcomes
- In just seven months, the team cleared its coding backlog.
- Average charts per coder per hour improved to nearly 18, an increase of 5-6 charts per hour
- Value of claims coded per month increased from $2 million to $4 million
- DNFB dropped from approximately 38 days to just 10
Eliminating Inefficiencies and DNFB Backlogs
Agile Automation
Flexibility and Innovation
Customized Reporting
"AGS Health's CAPC has truly exceeded our expectations. We came into this just wanting a tool to help us code more efficiently, but what we’ve gotten is a tool that has helped us automate and streamline coding processes, and, for a large majority of our revenue cycle pre-billing, we’ve made a lot of strides forward."
