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

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.

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%).

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.

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.

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.