From 4% Audit Coverage to 100%: A Dermatology Group’s Compliance Story

Before Syntra, this dermatology group’s compliance program looked like most: a part-time auditor sampling roughly 4% of charts, with findings delivered weeks after claims had already been paid. Problems were found after the money moved, when the only remedies were repayments and coder retraining.

The practice’s biggest concern was biopsy and lesion destruction coding, where site counts, size documentation, and pathology correlation create constant opportunities for error in both directions.

With Syntra reviewing every chart pre-bill, the feedback loop collapsed from weeks to minutes. Coders see flagged discrepancies with citations to the specific documentation before submission, and the compliance officer reviews a dashboard of trends instead of individual charts.

Six months in, the practice reports a measurable drop in payer takebacks, faster coder onboarding, and — unexpectedly — higher coder satisfaction. The team spends its time on genuinely ambiguous cases instead of routine review.