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Client Success
Annual Reimbursement Recaptured for Hospitals Just Like Yours.
Southwest Independent For-Profit Hospital
$1.5M
Recaptured in Annual Revenue
50 Inpatient Beds
$65M Annual Facility Inpatient Revenue
1,500 Annual Inpatient Medicare Discharges
Midwest Independent Non-Profit Hospital
Recaptured in Annual Revenue
$1.4M
175 Inpatient Beds
$225M Annual Facility Inpatient Revenue
2,000 Annual Inpatient Medicare Discharge
Rocky Mountain Independent Non-Profit Hospital
Recaptured in Annual Revenue
$1.2M
88 Inpatient Beds
$90M Annual Facility Inpatient Revenue
1,800 Annual Inpatient Medicare Discharges
Become Our Next Client Success Story.
The Problem
Due to resource challenges, independent, community hospitals often struggle with capturing patient acuity on their most difficult cases which negatively impacts reimbursement and quality outcomes.
Our Solution
Our team of Clinical Documentation Integrity (CDI) and revenue cycle experts are committed to enhancing the financial health of independent, community hospitals by ensuring accurate patient acuity and reimbursement capture.
We use four “levers” to ensure acuity is properly captured:
TALENT
Access to clinicians who are dual credentialed in CDI and Coding from ACDIS and AHIMA
TIME
Accurate acuity capture and improved reimbursement
TEAMWORK
Ongoing training for hospital staff CDI, Coders, and Physicians
TECHNOLOGY
Ensures the most important and complex cases are reviewed first
Why It Works
Sandiola's CDI/Coding specialists are clinicians dual credentialed in CDI and Coding from ACDIS and AHIMA. Because of this, our clients can be certain that patient acuity will be correctly captured on every case we review. Our team also has extensive experience working for major commercial payers, making them fully equipped to combat denials and downgrades.
Additionally, our proprietary case prioritization algorithm focuses our team’s effort on the most important cases first, ensuring that the cases which have the biggest impact on Case Mix Index receive the most attention. The Sandiola team continually collaborates with the hospital staff in real-time to ensure all cases are correctly documented in the electronic medical record and CDI and Coding best practices are shared.
Why Choose Us
With our rapid 30-day implementation, our clients start seeing an increase in reimbursement within 4 weeks. We operate on a contingency basis, so if we don't secure additional reimbursement, there is no cost to you. Additionally, all Sandiola DRG recommendations come with a money-back guarantee against denials and downgrades.
PEOPLE
The talent you need when you need it
SPEED TO VALUE
Increased reimbursement within 4 weeks
TRAINING
Ongoing training for Coders, CDIs, and Physicians
COLLABORATION
Concurrent, Pre-bill, and Post-bill collaborative workflow options
Contact Us Today
Learn more about what Sandiola can do for your hospital.