Mercyhealth, a leading multi-regional health system serving 55 communities across northern Illinois and southern Wisconsin, has transformed its revenue cycle operations with Arintra’s AI-powered autonomous coding platform. Faced with mounting revenue recognition challenges, Mercyhealth adopted Arintra to boost coding accuracy, improve efficiency, and support its growing patient volume. This collaboration supports Mercyhealth’s commitment to delivering high-quality care while driving financial growth.
Results
By implementing Arintra, Mercyhealth achieved:
- 5.1% Revenue Uplift: Enhanced coding accuracy directly boosted revenue.
- 50% Reduction in Work Queue Aging Days: Through instant autonomous coding and faster claim submission.
- 88% Direct-to-Billing Automation: A streamlined coding process alleviated administrative burden.
Kimberly Scaccia, Mercyhealth’s Vice President of Revenue Cycle, explains the impact: “Before, we were touching about 30% of claims from a coding perspective. Arintra allows us to ensure revenue accuracy based on documentation and be compliant, while freeing up coders to focus on highly complex services and value added initiatives.”
The Challenge
Mercyhealth processes over 130,000 claims monthly, creating coder burnout and backlogs. These challenges were compounded by evolving Medicaid policies and compliance mandates. Despite these pressures, the organization remained committed to delivering world-class healthcare and accelerating growth, recently opening a new hospital and planning a cancer institute.
The Arintra Solution
Arintra’s autonomous coding platform, powered by Generative AI, seamlessly integrated with Mercyhealth’s Epic EHR system, ensuring easy deployment and optimized workflows resulting in a seamless experience for coders and significant efficiency gains.
“Arintra provided much more than automation. It delivered clarity, auditability, and the ability to proactively address documentation gaps,” said Kelly Pierson, Mercyhealth’s Director of Coding. “Our team is now free to focus on complex cases and projects that bring greater value.”
