Montefiore Health System

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Montefiore Health System (MHS) is a premier academic medical center and hospital associated with the Albert Einstein College of Medicine. Headquartered in the Bronx borough of New York City, MHS operates a network of six hospitals, including a 2,059-bed extended-care facility, and provides state-of-the-art primary and specialty care in more than 150 locations across the greater New York region.

After a referral from Massachusetts-based Partners HealthCare network—which had recently relied on HCTec’s Go-Live Support services to carry out a successful information systems implementation—the orthopedic surgery center at MHS reached out to HCTec for help with modernizing its medical coding practices.

Challenge

Without coding resources or an in-house team of dedicated coding professionals, suboptimized coding at MHS led to millions of dollars worth of denied revenue. Montefiore Health System completed an extensive Epic implementation and sought a partner to ensure medical coding practices were executed correctly and efficiently.

Solution

To help MHS get to the root of their coding issues, HCTec performed an initial audit that identified major pain points and the types of errors being made in the orthopedic surgery department. HCTec then used its unmatched expertise to develop a strategy that would address MHS’s considerable coding needs while staying on budget.

What started as one coder providing physician-coding support for MHS’ orthopedics department quickly grew into 23 coders providing comprehensive coding solutions, auditing services, and both centralized and decentralized billing support across the MHS network.