Sunrise Cardiology Group
“Our billing team discovered we'd been undercoding for years. MedAgento's AI coding suggestions recovered over $2 million in the first year alone.”
— Jennifer Walsh, CFO
+$2.1M
Recovered Revenue
+28%
Coding Accuracy
-79%
Claim Turnaround
About the practice
Sunrise Cardiology Group is a 10-provider cardiology practice in Miami, Florida, performing over 15,000 encounters annually across interventional, electrophysiology, and general cardiology. CFO Jennifer Walsh suspected the practice was leaving significant revenue on the table due to inconsistent coding practices.
Products used
The challenge
With 10 providers each coding their own encounters, there was no standardization. An internal audit revealed a coding accuracy rate of just 76%, with most errors being undercodes, not overcodes. The practice was systematically undervaluing complex cardiology procedures. Claim denials ran at 12%, and the average turnaround from encounter to claim submission was 14 days.
The solution
MedAgento's AI coding suggestions analyze each encounter's assessment and plan to recommend accurate ICD-10 and CPT codes with confidence levels. Providers review and approve suggestions in seconds. Automated claim submission reduced turnaround from 14 days to 3 days. The billing team focused on exception handling rather than manual coding.
The results
Measurable outcomes after 90 days on MedAgento.
Recovered Revenue
Coding Accuracy
Claim Turnaround
Key results
Implementation timeline
From signup to full adoption. Here's how the transition unfolded.
Week 1-2
Practice setup for 10 providers, historical data migration, billing configuration
Week 3
AI coding activated, billing team trained on review workflow
Month 1
Coding accuracy jumped from 76% to 91%, undercoding patterns identified
Month 2
Automated claim submission activated, turnaround dropped to 5 days
Month 6
Coding accuracy at 97%, $2.1M annualized recovered revenue confirmed
“Our billing team discovered we'd been undercoding for years. MedAgento's AI coding suggestions recovered over $2 million in the first year alone.”
Jennifer Walsh
CFO, Sunrise Cardiology Group
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