Presented on: Tuesday, June 27, 2017

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a treasure trove of data that can help hospitals adapt to the world of value-based purchasing, reduce risk, and stay ahead of audits. But understanding how to...

Presented on: Tuesday, December 13, 2016

Is your hospital’s chargemaster updated for 2017? Learn about the latest billing and coding changes affecting the chargemaster and how to ensure your hospital’s chargemaster is in top form to help ensure revenue integrity....

Presented on: Tuesday, March 28, 2017

Claims returned with NCCI edits or medically unlikely edits (MUE) can easily be lost in the shuffle. Often, it’s not clear who is responsible for resolving an edit, leading to further delays with accounts receivable. Properly...

Presented on: Thursday, June 8, 2017

Every piece of a cost report tells CMS your facility’s story, and it’s your responsibility to ensure the story is accurate. The data included on cost reports can impact a facility’s revenue for years to come—influencing payment on...

Use this sample form as a guide for a nurse auditor, revenue integrity job description.

This sample business plan is designed to help you identify key objectives and components of your revenue integrity program.

This document provides guidance on key performance indicators for denials management and revenue integrity, including calculations for denials rates and denials overturn ratios.

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