Risk Adjusted Reimbursement (MRA)

Success Stories

Professional Responsibility

Evidence-based medicine is a health care reform demand and a doctor’s professional responsibility to provide. The Coleman advice regarding proper documentation is not a ‘cut and paste’ exercise, rather it is a survival principle to enable us to thrive in a changing financial environment. We can translate our collaborative efforts into improved patient care and professional satisfaction but also enhanced profitability. Education and training to assure increased funding for appropriate medical care preserves our financial viability and guarantees that we’ll be there for our patients’ future health needs.

A Partnership

Medical school curriculums focus on learning to be a good practitioner, NOT the business acumen needed for a successful practice. That’s where the Coleman partnership comes in. We value their shared expertise because our physicians and support staff learn fundamental techniques for proper coding of diagnoses and procedures. Furthermore, we benefit from their crucial insight that providing meticulous documentation has and will continue to positively impact our bottom line. Ultimately, our partnership enhances our profitability and our professional satisfaction.

Benefits to Patient Care Outcomes — Patient Outcomes and Profitability

As physicians we strive for quality patient outcomes. Coleman is in sync with our clinical aspirations, but has delivered on their premise that appropriate documentation–the evidence-based care that health care reform demands– supports that care path and results in proper reimbursement for care delivery. It’s a learned process that creates a win-win in the new reimbursement model.

Jorge Luna, D.O.
Regional Medical Director, Continucare
is board certified in Family Practice and has more than 20 years healthcare experience.

Improved Consistency

The advent of electronic medical records is compelling support of how addressing proper coding and documentation of conditions and treatments in health care now will assure proper accounting for reimbursement. As a result of Coleman training, we track improved consistency and efficiency in our coders’ record keeping, with fewer omissions and missteps identified on chart reviews. We have heightened awareness, improved operational compliance and enhanced reimbursement, thanks to our Coleman collaboration.

Critical Thinking Skills

The Coleman training helped develop our critical thinking regarding billing skills to maximize revenue. Beyond the tactical training, they leave us with proven coding tips which we find crucial to generating maximum reimbursement for care provided. These reminder sheets help employees to master correct coding skills which positively impact the bottom line.

Tracking Reimbursement Success

We take advantage of Coleman expertise regarding chart review and analysis, coding training and best practice advice. Their overall knowledge sharing has helped us track a course to profitability in the new reimbursement landscape. A significant measure of the value we place on the Coleman techniques is the development of an internal position to reinforce the skills addressed in their training sessions. We now make a conscious effort to document and code according to tips we’ve learned and as a result we identify new and track sustained revenue streams.

Francis Vega
Director of Operations, CAPS
has 19 years administrative expertise with medical practice management.