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. Instead, apply lessons learned from data analytics and back-end processes to help clinical staff capture the correct charges from the start.
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.
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 so we could create solutions that would help its members succeed.
