Regular revenue reconciliation keeps organizations ahead of the curve but scaling a program can be challenging. Learn how one organization implemented interactive reports to help departments monitor charges and revenue.Read More »
The Revenue Integrity Symposium is a conference that truly speaks to the contemporary and emerging issues that revenue integrity professionals grapple with.Read More »
Hospitals face increasing financial pressures due to dwindling margins, and competently utilized physician advisors can have a significant impact on appropriate reimbursement leading to the financial stability of hospitals.Read More »
CMS’ Hospital Outpatient Payment (HOP) panel made numerous recommendations at its annual meeting August 19 for the agency to consider ahead of the release of the 2020 OPPS final rule—with the panel and other stakeholders urging CMS to be more transparent with its responses and release of data.Read More »
A successful revenue integrity department depends on more than keeping up with Medicare changes. Revenue integrity’s critical work is done by highly skilled professionals working as a team to support the organization’s success. But keeping staff productive, focused, and happy is a different...Read More »
CMS released the fiscal year (FY) 2020 IPPS final rule on August 2, increasing inpatient operating payment rates by 3.1%, significantly altering rural health payments, and expediting opportunities to pay for new technologies. Policy updates affect approximately 3,300 acute care hospitals and...Read More »
While there are many conferences that touch upon aspects of revenue integrity, RIS is the only one entirely dedicated to the topic. Plus, it is a great way to meet other professionals in the field of revenue integrity who are facing similar challenges and have similar interests.Read More »
Payer contract terms have far-reaching consequences, from the types of services covered and the documentation required to how appeals are negotiated. Learn how revenue integrity can collaborate with physician advisors to monitor and address problems with payer contracts.Read More »
