The methods for maximizing revenue capture have changed over the years. Revenue management has evolved from random chart audits to using data analytics and technology to find patterns.Read More »
As revenue integrity departments continue to evolve, facilities are often faced with the challenge of determining which tasks must fall to these departments and which are best suited for other revenue cycle roles. With so many department functions overlapping, defining revenue integrity-specific...Read More »
A two-year-old child is brought in to the emergency department with a case of croup, experiencing inflammation in the lungs as well as coughing. The child is treated with Dexamethasone, a corticosteroid that reduces inflammation. The child’s coughing subsides and he is discharged.
There are two parts of maintaining correct audits: ensuring that the charges present on the claim accurately represent the care provided and documented and ensuring the claim is compliant with all applicable billing rules and regulations. One way to ease the process is to review the charges on...Read More »
A unique organizational model has been developed to handle chargemaster and other revenue integrity workflow at Mary Rutan Hospital in Bellefontaine, Ohio; after sourcing its charge functions from throughout the organization, the hospital has created a centralized team, housed under the title of...Read More »
Tasked with the impossible—reviewing 100% of charges before they go out the door—the revenue integrity department at Yale New Haven Health in New Haven, Connecticut, knows the importance of having a reliable staff to get the job done right.Read More »
