Revenue Integrity

Improving Revenue Integrity through right revenue, right delivery and right protocols

Revenue Integrity, a better strategy for reimbursement

In today’s healthcare environment, optimal financial performance requires more than cost reduction strategies, internal audits, and denial management. It requires health systems to focus on the integrity of their revenue. The revenue integrity approach ensures that providers can clearly identify, track, and realize the profit margins for the care they deliver. A broad and integrated revenue integrity framework – driven by analytics and business intelligence – enables early identification and resolution of revenue cycle challenges. It is a holistic approach that guides an organization toward achieving operational efficiency, complete regulatory compliance, and optimal reimbursement.

Harmony Healthcare’s Revenue Integrity solutions are comprehensive yet tailored to the unique needs of an organization and are developed to support providers with claims management, coding compliance and price setting methods while maintaining revenue streams and adhering to contractual obligations.

Benefits of an effective Revenue Integrity program

  • Reduce the amount of aging accounts receivables and unbilled days
  • Reduce the number of claim hand-offs and claim edits that require manual intervention
  • Manage unbilled dollars by prioritizing on high dollar claim follow-up
  • Expedite cash flow through better management of claim edits and denials
  • Eliminate problematic trends with proactive monitoring of billing edits, claims rejections, and denials
  • Ensure accurate charge capture and provide a layer of protection against risk of missed revenue
  • Identify issues that require education with action plans and process modifications
  • Foster continuous improvement of revenue cycle processes through ongoing education on compliance expectations and coding requirements

Professionals we place include:

  • Chargemaster
  • Revenue Integrity Director
  • Revenue Integrity Manager/Supervisor
  • Revenue Integrity Analyst
  • Revenue Integrity Auditor
  • Revenue Integrity Coordinator
  • Revenue Integrity Specialist
  • Billing Compliance Auditor
  • Charge Capture Specialist
  • Charge Capture Analyst
  • Charge Capture Manager
  • Director of Quality

What can Revenue Integrity do for your organization? Contact us at 813.369.5159 to learn more.