The situation
Vaccine product and administration codes were frequently separated or submitted with incomplete inventory details.
Same-day preventive and problem-oriented visits lacked a consistent documentation and modifier workflow across locations.
What we did
- 01
We standardized charge capture templates for vaccines, administration, well visits and same-day E/M services.
- 02
Certified pediatric coders reviewed high-risk combinations and sent concise documentation feedback to each provider.
- 03
A location-level scorecard exposed registration and rejection patterns without blending away site differences.
The result
- — First-pass claim acceptance reached 99.4% within one quarter.
- — Days in A/R dropped to 29 and coding rework fell 48%.
- — Monthly collections increased 17% without adding visit volume.
"The reporting showed exactly which location needed help and gave our providers feedback they could use the same day."