E/M level uplift for a multi-site urgent care provider

An organization in the Pacific Northwest with a team of 3-4 medical coders was experiencing underdocumentation and overcoding among its providers.  They knew underdocumentation was happening, but needed an actionable way to quantify the problem, investigate the issue and issue corrective feedback among their providers.

The practice team partnered with Charta to evaluate and drill down into the trends and the data showed that 1 in 3 encounters were flagged for underdocumentation.  The team was able to see which clinic locations and specific providers had the greatest tendency to underdocument and overcode.  To address this, the team used Charta’s provider feedback capabilities to send individualized feedback with clear explanations on where there were gaps in documentation when coding levels were not met.

In addition to addressing underdocumentation, the provider also experienced gains in operational efficiency. By adopting Charta as their primary coding tool to autonomously review and code 100% of their patient charts, the organization was able to significantly reduce time spent on reviewing and coding patient charts. They moved from a team of 4 medical coders to 1 who could review the same amount of claims in less time, freeing up staff to focus their time on other high priority tasks.

In the first 6 months of using Charta, the organization’s average E/M level increased from 3.08 to 3.30.  These results delivered on expectations and made the adoption of Charta AI’s medical chart review solution a successful one for the provider.  Looking ahead, the organization plans to continue its partnership with Charta to continue its progress on increasing E/M levels and RVUs across their clinic sites and have factored Charta into their plans as they continue to grow and expand their operations.