Internal Medicine Group Improves HCC Capture by 60%
A 4-physician practice optimizes Medicare Advantage documentation and reduces staff overtime
Specialty: Internal Medicine
Practice Type: Group Practice (4 physicians)
Location: Florida
The Challenge
High Medicare Advantage patient population but inconsistent HCC documentation leading to missed RAF adjustments.
- 70% Medicare Advantage patient population
- Physicians documenting HCCs inconsistently across providers
- Billing staff spending hours cleaning up notes for coding
- Annual HCC audits revealing missed opportunities
- New physicians struggling to match established coding patterns
The Solution
Deployed Scribeable across all providers to standardize documentation and automate HCC identification.
- Rolled out to all 4 physicians simultaneously for consistency
- Trained staff on reviewing AI-suggested codes
- Configured specialty-specific prompts for internal medicine
- Integrated with existing EHR workflow
- Set up weekly coding review meetings using Scribeable reports
Results
Dramatically improved HCC capture rates and reduced billing staff workload.
- HCC Capture Increase: 60% - More chronic conditions properly documented
- Revenue Impact: $280K/year - Across all 4 providers combined
- Billing Staff Overtime: Eliminated - Notes now complete and properly coded
- Onboarding Time: 3 days - New physicians productive immediately
"The consistency across providers has been transformative. Our billing team went from dreading chart reviews to barely needing to touch them."