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.

This chart outlines the components of revenue integrity and can help make your revenue integrity program a high reliability system improving margins and patient satisfaction.