Q: When a physician schedules a procedure, do you evaluate the patient’s record prior to the procedure to determine whether all of the coverage requirements of the applicable National Coverage Determinations and/or Local Coverage Determinations are met?Read More »
Q: Over the last few weeks, there have been quite a few articles in various newsletters about device credits. I’m not sure we have the best process in place to identify recalls and under-warranty replacements so I took a look. In the first account I reviewed, I found an item from a St. Jude...Read More »
Using revenue reports to create tailored metrics and then monitoring with revenue reconciliation will keep an organization on track to hit revenue goals and ensure that it’s able to plan for the correct amount of revenue.Read More »
The National Association of Healthcare Revenue Integrity is conducting its State of the Revenue Integrity Industry Survey and is interested in learning about your revenue integrity experience. The results of the survey will be released to all survey participants in a report during Revenue...Read More »
Sophisticated tools allow revenue integrity staff to sift through data, track trends, and pinpoint missing or inaccurate charges. But a revenue integrity department that simply focuses on identifying and addressing charge capture failures on the back end will find themselves repeating work....Read More »
When we first set out to research the revenue integrity profession more than a year ago, we didn’t know quite where it would take us. Revenue integrity titles and departments were becoming more common in the healthcare industry, and we sought to understand the needs and roles of this profession...Read More »
The healthcare sector is in a state of uncertainty that we anticipate will be the new normal. The question is: How do organizations adapt and survive in this new landscape with no clear road map? We start with what we know and then determine what we can control.Read More »
