Revenue Integrity

As a leader, your role comes with a responsibility to effectively communicate to your staff as you guide them forward. You are the person who must...Read More »

Improved revenue begins with mid-revenue cycle management. For immediate revenue lift, look toward a pre-bill MS-DRG review process. Read More »

In times when many hospitals and health systems will face negative margins, employing activity-based costing principles that support a value-based...Read More »

When revenue integrity departments emerge from the revenue cycle, they often start out small. Filling your staff with key players is critical—...Read More »

Once approval is given to launch a revenue integrity function or department, the program must be staffed to achieve its goals. In today’s...Read More »

As summer winds down, many organizations see themselves planning and budgeting for the year ahead....Read More »

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing...Read More »

Learn tips to identify denials that are most likely to result in successful appeals and discover methods for monitoring and tracking your appeals...Read More »

Q: What tasks and policies should be covered in a charge capture audit process?Read More »