Streamlining Diagnostic Coding for a Multi-Specialty Hospital Network
A hospital network operating multiple locations lacked standardization in diagnosis code assignment, leading to data inconsistencies and billing delays. We rolled out our hybrid diagnostic code mapping platform with a central workflow, enabling uniform code application across sites. Centralized management, confidence scoring, and audit logging helped align coding practices and improve compliance reporting.
Client Overview:
Operating multiple hospitals across Riyadh, Saudi Arabia, Al-Riyadh Health Network provided extensive multi-specialty healthcare services, employing over 400 medical and administrative professionals.
The Challenge: Manual Coding Errors & Inefficiencies
Across multiple locations, manual diagnostic coding processes were inefficient, leading to frequent errors and compliance issues with the Saudi Ministry of Health standards and ICD-10 regulations. Billing cycles stretched excessively, often leading to delayed reimbursements and revenue challenges. Operational inefficiencies diverted critical resources away from patient care toward tedious coding tasks.
Bioteknika’s Comprehensive Approach: Integrated Diagnostic Coding Solution
Bioteknika deployed a robust on-premise solution:
- Advanced ML-Driven Coding: Automated the extraction of diagnostic codes, drastically reducing manual workload and errors.
- Seamless Integration: Fully integrated with the existing electronic health records (EHR) and billing systems.
- Real-Time Compliance Checks: Immediate validation against ICD-10 and Saudi regulatory standards to ensure accurate, compliant submissions.
The Impact: Operational Excellence & Compliance Assurance
The results were immediate and substantial:
- Reduced Errors: Coding accuracy improved dramatically, with errors decreasing by approximately 70%.
- Revenue Efficiency: Billing and reimbursement cycles accelerated by over 45%, improving cash flow significantly.
- Compliance Confidence: Ensured continuous compliance, easing audit pressures and enhancing operational transparency.
Client Feedback:
“With Bioteknika’s solution, coding became effortless. Accuracy improved, reimbursements came quicker, and our regulatory compliance worries nearly vanished. Truly invaluable software.”
— Dr. Faisal Al-Ahmadi, Chief Medical Officer, Al-Riyadh Health Network
