Even the best systems have a ceiling

Burlington Pediatrics is an independent, North Carolina practice. They serve 16,000 patients across three locations, with 15 providers and a billing operation built for speed:

• 100% notes completed same-day
• Claims out the door within 24 hours
• Denial rate under 1%.

Their system worked. But even when you do everything right, it’s impossible to keep up with every code.

“You don’t know what you don’t know, and who has time to go looking for it?” — Dr. Yun Boylston

Freed’s coding assistant fit seamlessly into their system: layering coding intelligence on top of existing workflows without changing what already worked.

Because even with quarterly coding audits and rigorous oversight, they ran into:

• Generic diagnoses under time pressure
• Service codes going uncaptured
• Newer clinicians coding inconsistently

It’s a gap that training can’t close.

"Unfortunately, in training we just don't learn coding. But this is the lifeline of everyone's livelihood." — Dr. Yun Boylston

Surfacing what was always earned

Freed's coding assistant listens, writes notes, and flags opportunities immediately.

"Freed can pick things up that are happening. We would have never taken time to add that playground code. But it really does give that encounter more precision." — Dr. Yun Boylston

Right shoulder pain becomes Right shoulder pain and injury incurred on the playground.

A headache is no longer “unspecified.” Prompted questions confirm the type of pain (like a migraine) and severity level.

The context and nuance flows from the conversation. I’s something EHR templates can't do, because they only know what you tell them.

On average, Freed surfaces one to two meaningful improvements per provider per day. With 15 providers at over 52,000 visits a year, that number multiples fast.

In the first six weeks, Burlington saved thousands of dollars in annual revenue impact from E&M upgrades alone — before accounting for additional codes and improved risk scores.

Results & adoption: Thousands saved at scale

In just six weeks, Burlington had:

• 1,500+ ICD-10 code improvements
• 71 confirmed E&M upgrades
• 83% provider acceptance rate on suggestions actively reviewed.

By month two, 99.5% of visits were covered and 94% of providers were actively using the tool.

Consistency data is just as telling.

Burlington's coding distributions tightened across all 15 providers. One newer clinician's E&M split shifted from 60/40 (L3/L4) to 40/60 — aligning with the practice's experienced physicians.

Real-time support gives them instant value, in real dollars.

The part the numbers don't capture

“Pajama time” is no one’s favorite phrase. But it’s common enough for us to know (and dread) it.

For newer providers especially, this can mean two-plus hours of administrative work after shifts.

Burlington’s leadership wanted to help.

"It really disheartened me that new providers fresh out of training would go home after a long day and complete charting for two more hours. It was really about: how do we make this sustainable for all of us?" — Dr. Yun Boylston

When coding lives and breathes with the visit, we shrink that burden. And providers show up to the next visit with a little more confidence.

"If I didn't have Freed, I'd feel like something was absent — like there wasn't something behind the scenes helping me validate and verify, or show me something new I can learn from." — Dr. Yun Boylston

The revenue was always there. The work had already been done. Freed’s coding assistant made it visible.

Fill coding gaps and strengthen your team. Try Freed’s coding assistant or chat with our team today.