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 »
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 »
Audits are a check-up for revenue integrity. Skipping a regular audit, like skipping an annual exam, can lead to larger, more costly problems down the line—and a lack of proper auditing and remediation in one department can easily spread problems to related departments.Read More »
Revenue integrity is an all-hands-on-deck operation at the Los Angeles Jewish Home where the documentation specialist acts as the coder, CDI specialist, and medical records auditor.Read More »
To close an open encounter, the following ingredients are required: one completed progress note, one chief complaint, a diagnosis, and a physician level of service. Combine all four in EPIC and you're ready to post charges.Read More »
When it comes to revenue integrity, new challenges arise daily, but SSM Health Cardinal Glennon Children’s Hospital in St. Louis has a revenue integrity department that’s been meeting them head on.Read More »