Policies & Procedures

Use this sample form as a guide for notifying patients of a Medicare outpatient status change.

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

Use this sample letter to notify patients of a post-discharge self-denial by the utilization review committee.

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.

This sample form helps identify utilization management committee tasks and responsibilities.

This presentation provides gudiance on utilization management committee structure and accountability.

This policy is aimed at streamlining the audit process, protecting our patient’s confidentiality, ensuring prompt payment on audited accounts, and improving billing accuracy.

Use this sample policy as a guide when developing policies and procedures for late charges at your facility.

The purpose of this policy and procedure is to provide guidelines concerning the cancellation of a patient’s account.