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.
To close an open encounter, the following ingredients are required: one completed progress note, one chief complaint, a diagnosis, and a physician level of service. Combine all four in EPIC and you're ready to post charges.
This policy is aimed at streamlining the audit process, protecting our patient’s confidentiality, ensuring prompt payment on audited accounts, and improving billing accuracy.
To use the chart, simply fill in the number of each type of audit you receive at the top of the chart. That number is then broken down into parts as you move down the chart and track the type of audit, as well as the results of any appeals and other relevant information.
When it comes to revenue integrity, new challenges arise daily, but SSM Health Cardinal Glennon Children’s Hospital in St. Louis has a revenue integrity department that’s been meeting them head on.
