Backed by a network of national resources, ApolloMD offers scalable multispecialty solutions for hospitals and health systems through a unique structure focused on exceptional clinical operations and enhanced patient care. Emphasizing quality, efficiency, communication, and patient experience, Atlanta-based ApolloMD works with partner facilities to implement best practices and process improvement. It provides leadership development and support to its clinical teams utilizing comprehensive quality improvement and patient safety initiatives – a collaborative approach that optimizes operational backing, department/clinician alignment and clinical quality, enhancing the patient experience.
Challenge
- Replacement A/R vendor did not deliver expected levels of revenue and resolution.
- Existing outsourced coding provider struggled with poor communications, missed documentation opportunities, and coding accuracy.
- Required a cost-effective outsourced coding and A/R services partner capable of delivering high-quality services.
- Physicians were struggling to adjust documentation practices to accommodate the significant changes to E/M coding guidelines in 2023, which impacted coding and ultimately reimbursement levels.
Solution
ApolloMD first engaged AGS Health to support A/R follow-up functions, in particular addressing denials and unresolved cases, identifying additional revenue opportunities, and solutions for permanent fixes to claim logic issues, insurance updates, etc. Despite outstanding results, the decision was made to replace AGS with one affiliated with ApolloMD’s new EHR software. It was a short-lived separation. Within just a few months, ApolloMD was back with AGS Health after its replacement failed to meet quality expectations. Since then, the relationship has expanded to include anesthesia and ED coding, and AGS Health continues to deliver exceptional results.
- Maintains A/R work queue aging within 7 days of the influx date.
- External quality consistently exceeds 96% for A/R functions.
- Processing 600,000 ED and 40,000 anesthesia claims annually with consistently high levels of coding accuracy and quality.
- Contributes to significant documentation improvement, leading to fewer claim denials and timely billing.
- RVUs for both emergency and hospital medicine have improved under AGS Health coding.
Winning Over with Quality
Driving Documentation Improvements
Revenue Improvements
“I have absolutely zero compliance concerns with AGS Health – and compliance is paramount when we’re talking about coding and documentation. Secondly, from a value standpoint, the cost is excellent and behind that, the quality is very, very good.”
