CLIENT CASE STUDY / SUCCESS STORY
Here is an actual interview with one of our clients…
Feedback provided by,
Jose (Joe) Guethon, MD, MBA
Chief Medical Operations, ClareMedica Health Partners
- How did you meet Symbion Coding?
- Before and after Symbion Coding
- Valuable services provided
- When and how ... optimizing your risk contract reimbursements?
- Symbion Coding impact
- Stand out service
How did you meet Jean and learn about Symbion Coding?
Jean and I met back in 2008; I was the COO for Metropolitan Health Networks, the largest MA risk provider for HUMANA in the state. Jean was hired as a coder and soon promoted to MRA lead for the South FL division.
How would you compare the previous state and current state of your risk contract reimbursements, since working with Symbion?
Symbion has given us insightful feedback into our workflow processes and confidence to management and investors from a compliance standpoint. Their audit work helps us point to specific providers who require more education and monitoring than others.
Their audit also gives us credibility with plan partners.
How valuable have the services provided by Symbion Coding been to your practice?
Extremely valuable in terms of compliance and revenue funding for our risk business. His audits help identify problem areas and opportunities both qualitatively and quantitatively.
When and how did you realize that you weren’t necessary optimizing your risk contract reimbursements?
We assumed so based on low risk scores and funding revenues PMPM. We needed to ensure compliance and attempt to quantify upside opportunity.
What overall impact have Symbion’s services had on your overall financial performance?
It is too early given the CMS payment periods but we project at least a 50% ROI.
Are there any specific services offered by Symbion Coding that may stand out or that you can speak about? (Chart Review, Medical Coding & Billing, Claims Submission, Clinical Documentation Improvement)
Professional demeanor and character
Timely response and customer service
They advise and make wholistic recommendations
They deliver what they say
Results are organized and presented clearly
They approach the scope of work as if they are part of our team- they are accountable!