Common Revenue Integrity Challenges in Healthcare—and How to Overcome Them
Maintaining revenue integrity is a persistent challenge for healthcare organizations, directly impacting financial health, compliance, and patient care. As the regulatory landscape grows more complex and margins tighten, understanding and addressing the most common obstacles is essential. Here we explore the key challenges in revenue integrity—focusing on documentation, coding, charge capture, billing, and compliance—and offer actionable solutions to overcome them. Coding Accuracy and Documentation Challenges Obstacles: Incomplete or inaccurate clinical documentation is a leading cause of coding errors, claim denials, and lost revenue. Coders depend on thorough records to assign correct codes. Missing or vague information can often lead to…
Cost Effectiveness of Using Contractors for Non-Clinical Healthcare Positions
As healthcare organizations face rising costs and ongoing labor challenges, many are re-evaluating their staffing models, especially for non-clinical roles such as IT, billing, HR, administrative, coding, and revenue cycle. One key strategy is the use of contractors instead of full-time employees. But is this approach cost-effective? Here we explore the evidence and considerations. Rising Healthcare Costs and Labor Pressures Healthcare costs are projected to increase significantly in 2025, with employers expecting a 6.7% average rise in healthcare expenses. Labor remains one of the largest cost drivers, and while clinical staffing shortages have dominated headlines, non-clinical roles are also under…
Addressing the Medical Coding Workforce Shortage: Causes and Solutions
The healthcare industry is facing a significant shortage of medical coders - a crisis that has wide-reaching implications for revenue cycle management, patient care, and financial stability. Understanding the root causes of this shortage and implementing effective strategies is crucial for any organization aiming to maintain operational efficiency and compliance. Here we share the factors behind the talent shortage of medical coders and how your organization can stand out to talent. Why Is There a Medical Coding Workforce Shortage? There are several factors contributing to the current shortage of medical coders: Rapid Industry Growth: The healthcare sector has expanded significantly,…
