Patient Plus Urgent Care
Patient Plus Urgent Care Improves Coding Accuracy and Captures Up to $57,000 in Monthly Revenue with Exdion Health
Helping Providers Focus on Patient Care, not Coding
Patient Plus Urgent Care was founded with a mission to improve access to healthcare across southeast Louisiana. Today, the organization operates 11 clinics, sees more than 120,000 patients each year, and provides both urgent care and occupational medicine services to communities that have historically been underserved.
As patient volumes increased, leadership looked for ways to support providers without adding administrative burden. One opportunity stood out: improving coding accuracy before claims were submitted. It would strengthen the revenue cycle while helping clinicians stay focused on patient care.
Results at a Glance:
- Expanded Exdion Health integration from 1 clinic to all 11 locations
- More than $224,000 in additional revenue identified over seven months
- Up to $57,466 in additional revenue in a single month
- More consistent coding accuracy through pre-submission claim review
The Challenge:
Providers Shouldn’t Have to Be Coding Experts
Like many urgent care organizations, Patient Plus relied on providers to manually assign evaluation and management (E/M) codes after every patient encounter. While providers receive extensive clinical training, Steven Presley, PA-C, President and Co-Founder of Patient Plus Urgent Care, points out that most receive little formal education in medical coding before entering practice.
That challenge becomes even greater in urgent care, where providers often see 40 to 60 patients in a single day.
“No PAs or NPs or MDs for that matter are actually educated or trained in billing or coding. In the urgent care world you’re constantly balancing throughput, seeing 40, 50, 60 patients a day. You’re rushing just to get to the next one, and you make mistakes.”
Patient Plus outsourced its billing operations, but the billing team focused on processing claims and resolving denials rather than proactively identifying missed coding opportunities. If a provider selected the wrong new versus established patient designation or assigned an E/M level that didn’t fully reflect the documented work performed, revenue could be left behind even when clinical care supported higher reimbursement.
Leadership could identify these trends retrospectively through audits, but there was no practical way to prevent mistakes before claims were submitted.
“There was no solution that was offered to mitigate the problem or fix it before it happened.”
The Solution:
An AI-Powered Coding Review Before Claims Leave the Clinic
Patient Plus implemented Exdion Health to perform a comprehensive review of every eligible claim before submission, adding what Presley describes as an important quality check within the revenue cycle. The platform reviews each claim against the supporting clinical documentation to:
- Correct new versus established patient designations
- Recommend appropriate E/M level adjustments when documentation supports a different level of service
- Catch coding errors before claims are submitted to payers
- Provide providers with individualized feedback and action items through the ProMax portal
Patient Plus also configured Exdion Health to review fee-for-service claims, allowing the organization to focus on the areas with the greatest financial opportunity while avoiding unnecessary review costs. More importantly, the platform gives providers ongoing feedback that reinforces coding best practices and builds confidence over time.
“It’s basically a coding assistant, not only for each individual provider, but also from a financial perspective for the practice.”
Patient Plus began integrating Exdion Health with a single clinic in December 2024 before expanding the platform across all 11 locations in June 2025, bringing the same coding review process to every clinic in the organization.
The Results:
Better Coding, Stronger Reimbursement, and Continuous Provider Education
Since deploying Exdion Health across all clinics, Patient Plus has generated between $17,000 and nearly $58,000 in additional monthly revenue, with more than $224,000 in incremental revenue identified over the seven-month period from November 2025 through May 2026.
The organization has also strengthened its overall revenue cycle by improving coding consistency across providers. Every review becomes an opportunity to reinforce best practices, helping clinicians improve over time instead of simply correcting mistakes after the fact.
In addition, Exdion Health provides reporting and analytics that help leadership identify documentation trends, uncover additional reimbursement opportunities, and respond proactively as payer requirements evolve.
Designed Around the Reality of Urgent Care
Urgent care providers move quickly from one patient to the next, making hundreds of coding decisions every week. Patient Plus views AI as a practical way to improve accuracy, reinforce best practices, and support clinicians without slowing the pace of care.
“I’m a big believer in AI and the automation for processes that there’s no reason to have humans making mistakes. The providers can focus more on the limited time that they do have in the patient encounter and making the right medical decisions that they went to school for, and not coding and billing.”
Find the Revenue You’re Leaving Behind
See how Exdion Health can improve coding accuracy, capture missed reimbursement, and strengthen your revenue cycle without adding more work for your providers.