To improve financial performance across the enterprise, many providers are taking a novel approach: Pre-Bill Revenue Integrity as a Service, which combines automated pre-bill analysis with revenue integrity expertise. This flexible approach offers many benefits over the traditional approach of...
Although patient care remains the primary concern during COVID-19, the financial effects of the crisis will linger for many months afterward. Maintaining good UR discipline may help hospitals emerge from this emergency in better financial condition and able to better serve their populations.
For the third consecutive year, NAHRI is hosting Revenue Integrity Week to celebrate the hard work, dedication, and remarkable achievements of revenue integrity professionals across the country. As part of Revenue Integrity Week, NAHRI takes an in-depth look at trends across the industry with the 2020 State of the Revenue Integrity Industry Survey Report. The survey explores the roles and responsibilities of revenue integrity professionals, their backgrounds, and the key functions of the job.
Get your team together for a round of Revenue Integrity Family Feud! The game can be played virtually. All questions and answers are based on the 2020 State of the Revenue Integrity Industry Survey Report, so be sure to review the report before setting up your game.
Q. Nearly 20% of respondents use a vendor-built tool integrated with their EHR to identify revenue leaks. What kind of revenue leakage should revenue integrity aim to identify through the use of this technology?
A. Vendor-built tools can help identify revenue leakage in multiple clinical areas. When starting with a new tool, create a plan to address your hospital’s high-dollar or high-volume areas, as well as specific areas of known concern.
Q. Most respondents (35%) stated that operational departments are responsible for reconciling their own charges with regular support from revenue integrity. What recommendations do you have for revenue integrity team members and operational departments involved in the charge reconciliation process?
A. I think 35% is a great start; however, I would encourage all revenue integrity teams to work directly with the operational leaders to design and support charge reconciliation at the cost center or department level for 100% of revenue-producing departments.
