After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.Read More »
Emergency department (ED) charges are the least likely to be entered by clinical staff or triggered by clinical documentation, according to the preliminary results of the 2025 State of the Revenue Integrity Industry Survey. The survey, which collects information on revenue integrity processes,...Read More »
There are many variables involved in charge capture processes. Organizations use different time frames, systems, tools, and policies, so there is no one-size-fits-all solution for reducing charge lag.
Some revenue integrity departments struggle with their reporting processes and have...Read More »