What does it take to bring revenue integrity from a vision to a standard way of operating inside a large, complex healthcare organization? Join this webinar to learn how one innovative revenue integrity leader, Carl Swart from Mercy Health, orchestrated a series of changes over 3 years to...
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a treasure trove of data that can help hospitals adapt to the world of value-based purchasing, reduce risk, and stay ahead of audits. But understanding how to...
Is your hospital’s chargemaster updated for 2017? Learn about the latest billing and coding changes affecting the chargemaster and how to ensure your hospital’s chargemaster is in top form to help ensure revenue integrity....
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...
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...
