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Healthcare Case Studies

Rescuing a Client from Potential Financial Crisis with AR Management

The Problem: A large, multi-specialty medical group and health system on the West Coast was on the brink of a financial crisis due to its poorly managed accounts receivable process.

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Legacy AR Clean-Up for Transition to Epic

The Problem: A world-class academic health system located in the Southeast decided to transition from its legacy electronic health record (EHR) to Epic for enhanced record-keeping.

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Correcting a $33 Million Backlog of AR Invoices

The Problem: Due to a significant staffing shortage, a 360-bed pediatric hospital located in the Midwest struggled to manage its accounts receivable cycle effectively. The situation led to a staggering backlog of $33 million in invoices that were over 180 days old. This backlog caused delayed reimbursement, disrupted cash flow, and placed immense pressure on the already overworked staff.

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Achieving 100% Physician Compliance and 35% Increase in Cash Flow with Clinical Documentation Improvement (CDI)

The Problem: Vee Healthtek was approached by one of the largest hospitals in the Midwest, which was experiencing major revenue loss caused by improper clinical documentation. Due to documentation discrepancies involving high-impact diagnosis related groups (DRGs), the hospital had multi-million-dollar leakage.

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Clearing $700,000,000 Claims Backlog for Major Health System in Two Months

The Problem: A large health system with more than 30 hospitals was targeted in a major cyberattack, which led to a significant claims backlog. The accumulated claims amounted to hundreds of millions of dollars, including high-dollar facility charges.

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Meeting High Growth Demands an HCC Coding Story

A large healthcare analytics company needed to expand its HCC coding operations. At the time, Vee Healthtek was very experienced in many different coding disciplines but had no prior experience in HCC coding. We wanted the business, but weren’t sure if we should pursue it.

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Free Cash Flow: Account Prioritizing Lowered Timely Filing Losses 47%

We found a gap. We’re always hunting for opportunities to improve cash flow for our clients. One valued client, we’ll call Kurt, had a big one.

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Staffing Flexibility: Working with Our Clients to Solve Short Term Deadlines

A large healthcare analytics client of Vee Healthtek had a problem. How could they provide quality assurance (“QA”) to hundreds of thousands of scanned images in a six-week period? It wasn’t feasible for the client to hire staff for such a short-term project or train temporary personnel because of concerns relating to quality and speed to market

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Data Migration and New System Implementation

The current healthcare environment is creating one of the most active hospital and health system consolidations in history. Independent hospitals in particular have been caught up in the trend of consolidation.

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Success of Reducing Unbilled Totals for At Risk Client

The Vee Healthtek coding team was tasked with identifying solutions to improve the delay in coding unbilled charts for a large hospital. The client was facing a financial crisis and had to significantly reduce staff.

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How Vee Healthtek Helped a Client Turn its Backlog into Revenue

Late in 2015, Vee Healthtek was approached by a new client having difficulty with their radiology coding system. They were depending on a computer-aided tool that did not adapt well to the type of radiology work being done, causing a three-month backlog.

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Success of Reducing Pending Physician Referrals

A Vee Healthtek referral team was tasked with processing a large backlog of physician referrals for a large physician group in the U.S. Our client was experiencing long delays in processing physician referrals which led to a loss of patients, low patient satisfaction scores and ultimately, cash delays.

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Bridging Analytics and CDI for Optimizing Risk Adjustment Suspect Condition Capture

Most providers participating in risk adjusted contracts view risk adjustment optimization as a function of revenue enhancement. Most providers participating in risk adjusted contracts view risk adjustment optimization as a function of revenue enhancement.

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Eastern Washington Hospital Leveraging India Resources Amid Fiscal Pressures

The maturity of an organization determines its scalability and operational agility to adjust to shifting reimbursement structures, specifically alternative payment models.

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Claims Management - Process Innovation and Technology Result in Cost Reductions

The Challenge: Prohibitive labor cost and considerably higher turnaround time due to large number of manual adjudications resulting from mismatched information between enrollment data and provider data.

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Provider Data Management - Process Innovation and Technology Result in Cost Savings

The Challenge: A cost intensive update process that required checking all data on provider information update form rather than ones which were changed (typically only 40%).

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Risk Score Optimization through CDI

Scope: A major university-based health system wanted a thorough review of their documentation to see if it was supporting the level of care they are providing to the risk adjusted patient population.

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Coding Auditing RAC — Health System

Client Details: Our client is a major health system with multiple hospitals. Vee Technologies provides various services including Coding, Auditing, and RAC (Recovery Audit Contractor) review process for this client.

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Revenue Optimization & Staff Augmentation for a Major Health System

Challenges: Our client, a major university health system, was looking to optimize revenue. They had millions of dollars on hold as the claims hit the clearing house due to improper coding, POS and modifier issues, demographic mismatch etc.

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