Sunrise Family Medicine
Family Medicine
A 5-location family practice cut claim denials by 52% and reduced days in A/R from 45 to 28.
The Challenge
Sunrise Family Medicine operates five locations across suburban Atlanta, seeing over 800 patients per week. Their billing team was overwhelmed with denials, many stemming from simple coding errors and missing modifiers. The practice was losing revenue to preventable mistakes.
- 22% denial rate across all payers
- 45 days average in accounts receivable
- Manual coding for all E/M levels
- No visibility into coding patterns or trends
The Solution
SmartCoding.ai was deployed across all five locations with a unified workflow. The AI quickly adapted to each provider's documentation style while maintaining consistent coding standards. The built-in analytics gave leadership visibility they never had before.
- Consistent E/M level suggestions based on documentation
- Automated modifier recommendations
- Payer-specific rule checking before submission
- Dashboard showing coding trends by provider and location
We were skeptical that AI could handle the variety we see in family medicine. But SmartCoding.ai proved us wrong—it handles everything from well visits to complex chronic care management.
The Results
Sunrise Family Medicine achieved dramatic improvements in their revenue cycle metrics. Denials dropped by more than half, and the practice significantly accelerated their cash flow.
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