Midwest Cardiology Associates

Midwest Cardiology Associates, a busy interventional cardiology practice with 12 physicians, was struggling with a growing coding backlog. Complex cardiac procedures required specialized coding expertise, and their two-person coding team couldn't keep pace with volume. Claims were being submitted late, leading to increased denials and cash flow problems.

• 3-week average coding backlog
• 18% denial rate on first submission
• High coder turnover due to burnout
• Complex interventional procedures requiring specialized knowledge

After implementing SmartCoding.ai, the practice saw immediate improvements. The AI engine was trained on cardiology-specific documentation patterns and quickly learned the nuances of interventional coding. Coders shifted from manual code lookup to reviewing and validating AI suggestions.

• AI-powered coding suggestions for all cardiac procedures
• Automated CCI edit checking for bundling issues
• Real-time claim scrubbing with cardiology-specific rules
• Integration with their existing Cerner EMR

Within 90 days, Midwest Cardiology Associates transformed their revenue cycle operations. The coding backlog was eliminated, denials dropped significantly, and the practice saw a substantial increase in net collections.