We reduced DNFB by over $100 million on a Path to Concurrent Coding.
The client is an Academic Level 1 Trauma Center among the Top 20 in the U.S.
Here’s how we helped them achieve it…
The Client's Challenges
Coder staffing and retention challenges that resulted in issues within entire revenue cycle
Rising DNFB numbers that were not sustainable
Client seeking single-source solution to code all service lines including a quality platform that met their requirements
The Shearwater Solution
Dedicated clinical team of 40 Hybrid Coders trained on both inpatient and outpatient coding
The clinical team consists of a blend of Philippine and U.S. Registered Nurses with AHIMA & AAPC certifications
Managed workflow by TotalView, a Shearwater RPA productivity tracking tool
Shearwater as a True Strategic Partner
In the first year, the team reduced DNFB of over $100 million to the lowest levels in 10 years.
By the third year, the team was providing concurrent coding across all service lines.
Maintained greater than 95% quality ratings for all lines of business in coding including inpatient, outpatient-facility, and outpatient-professional.