Anna Santoro, MBA, CCS, CCS-P, RCC, CHRI, shared three steps to a proactive revenue integrity department.
Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.
Use these strategies to protect revenue and strengthen compliance with inpatient-only list requirements.
Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.
Understand how to navigate evolving guidance on observation services and medical necessity.
Brush up on revenue integrity essentials for critical access hospitals and rural health clinics.
Think outside the box to develop practical and meaningful metrics for revenue integrity departments.
Diane Weiss, CPC, CPB, CCP, CHRI, looks at trends in payer audit activity.
CMS recently released FAQs on No Surprises Act implementation topics including balance billing and notice and consent requirements.
Jerilyn Morrissey, MD, shares why revenue integrity professionals need to think outside the box to address denials and understand payer performance.
