About Client
HorizonCare Hospitals is a leading integrated delivery network (IDN) operating 12 hospitals across the Eastern United States. With a workforce of 20,000 and annual revenue exceeding $4.2 billion, the organization spans multiple specialties including oncology, surgery, pediatrics, and general medicine.
Challenge
HorizonCare’s clinicians and administrative teams were overwhelmed by documentation demands and compliance checks. The hospital’s leadership identified three critical challenges:
- Challenge – Documentation and Compliance Burden
- Physicians spent 2 hours daily on charting, impacting care delivery and morale.
- Frequent coding inaccuracies led to payer rejections and delayed reimbursements.
- Documentation inconsistencies triggered CMS and payer audits, increasing legal and financial risk.
- Compliance teams lacked real-time visibility into documentation quality and audit triggers.
- Existing workflows were not equipped to support ambient documentation or automated coding.
- Leadership required an AI solution that could:
- Automate SOAP note generation
- Improve coding accuracy and compliance
- Integrate securely with EHR systems under HIPAA guidelines
Solution
CaliberFocus deployed an AI-enabled documentation and compliance layer integrated into HorizonCare’s EHR. Key components included:
- Ambient Listening Assistant: Captured clinical conversations and auto-generated structured notes.
- AI Coding & Compliance Engine: Recommended accurate codes and flagged risks in real time.
- CDI Monitoring Dashboard: Provided visibility into documentation quality and audit triggers.
- Secure Cloud Delivery: HIPAA-compliant infrastructure with encryption and audit trails.
Outcomes (10 Months Post-Deployment)
| Metric | Before | After |
|---|---|---|
| Documentation Time | 2 hours/day | 1 hour/day |
| Billing Compliance Accuracy | 92.3% | 98.6% |
| Admin Cost Savings | — | $3.8M annually |
| Audit Findings | Baseline | 60% reduction |
| Physician Satisfaction | 59% | 83% |
Business Impact
- Improved CDI productivity and audit readiness
- Fewer delayed claims due to incomplete documentation
- Enhanced morale and retention among clinical staff
We regained both time and accuracy. CaliberFocus eliminated one of our biggest pain points.
— Karen Dalton, Chief Compliance Officer, HorizonCare Hospitals
Cross-Industry Impact of CaliberFocus AIaaS
| Category | Average Improvement |
|---|---|
| Operational Efficiency | +40–55% |
| Clinician Productivity | +25–30% |
| Compliance Accuracy | +45% |
| Patient Experience | +35% |
| Financial ROI | 3–6× within 12 months |
Conclusion
CaliberFocus AI-as-a-Service enables healthcare organizations to adopt intelligent automation without disrupting existing systems or requiring significant capital investment. Whether improving clinical decision-making, streamlining operations, or enhancing documentation accuracy, CaliberFocus delivers measurable outcomes across the care continuum.