Orthopedic Medical Coding Success | Excelsior + Nivaran
Excelsior Orthopaedics
Buffalo, NY
The Challenge
- Difficulty documenting patient visits in a newly installed electronic medical records (EMR) program
- Entering overwhelmingly detailed information to meet HRSA guidelines took away from patient interactions
- Keeping up with charting after patient visits (and often after hours) added to the practice’s already full workload
- Backlogs, and other inefficiencies, impacted quality of care and reimbursements
- Continued need to post vacancy ads, canvassing, interviewing, and hiring the qualified experienced candidates.
The Solution
- Excelsior Orthopedics partnered with Nivaran’s remote medical scribe services to streamline real-time clinical documentation, reduce provider workload, and eliminate administrative inefficiencies.
- The transition was seamless — Nivaran assigned a dedicated project manager within 24 hours, and full onboarding was completed in just a few days, enabling the practice to quickly experience improved charting accuracy and enhanced operational efficiency.
The Results
- Excelsior no longer relies solely on their primary on-site coders as Nivaran augments the Excelsior coding team. And Nivaran is able to help manage the increasing coding workload.
- Nivaran manages the training of their medical coders on Excelsior coding guidelines to ensure coding according to Excelsior policies.
- Streamlined A/R cycle – faster reimbursement.
- Increased reimbursement through accurate, compliant coding.
- Enhanced client satisfaction, as coders at Nivaran are well versed with the recent updates in E/M guidelines and ICD10 and CPT codes.
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About the client
Excelsior Orthopaedics is a comprehensive musculoskeletal center offering a broad range of medical and clinical expertise in general orthopedic evaluation and treatment, physical and occupational therapy, neck and spine care, Sports Medicine, hand and foot care, and shoulder and elbow management, etc.
Excelsior Orthopedics was founded on the belief that every patient deserves to receive care that does more than fixing a problem.
Excelsior Orthopedics partnered with Nivaran’s medical coding services to streamline its orthopedic medical coding process, ensuring accurate documentation and faster claim submissions. By outsourcing to Nivaran, Excelsior was able to reduce coding errors, minimize claim denials, and significantly improve its revenue cycle management.
Nivaran’s certified medical coders, trained specifically in orthopedic coding standards, helped Excelsior enhance billing compliance and reduce administrative burden — allowing providers to focus more on delivering exceptional musculoskeletal care.
We have always faced the challenge of hiring skilled and experienced professionals for accurate and timely coding and billing. Nivaran has been able to tackle this issue very well. Their organized approach and willingness to put in concerted efforts have certainly helped us streamline our A/R cycles, resulting in faster reimbursements. Our workload of medical coding and billing is managed much effectively with all the things being done within a week. Now, I have more bandwidth to get things done sooner.