In honor of the due diligence and dedication of revenue integrity professionals, NAHRI is pleased to announce Revenue Integrity Week. This is a national week of recognition for revenue integrity professionals, to be held June 3–9, 2018. Join us in celebrating your profession and your achievements.
Revenue integrity is an all-hands-on-deck operation at the Los Angeles Jewish Home where the documentation specialist acts as the coder, CDI specialist, and medical records auditor.
The three main elements of a successful business strategy are people, process and technology. To implement a successful revenue integrity strategy, you must involve stakeholders from relevant departments, reinforced with an organizational commitment to transparency.
Q: Are outpatient departments considered part of the therapy cap for hospital-owned facilities? If so, do we need to bill with modifier –KX (Type of Bill 012X)? I want to ensure I’m billing correctly.
Managing charge capture in a multi-hospital system that spans a variety of service lines and charges can prove to be a daunting task both in terms of ensuring claims are accurate and ensuring team members are well versed in each service line and charge type. While some health systems may train staff across all areas of charge capture, Saint Luke’s Health System in Kansas City, Missouri, opted to assign each team member a role in which they could become experts.
