Drive efficiencies and optimize payments
The revenue integrity approach ensures that providers can clearly identify, track, and realize the profit margins for the care they deliver.
Our solution is tailored to the unique needs of your organization. It supports providers with claims management and coding compliance while maintaining revenue streams and adhering to regulatory requirements.
- reduce the amount of aging accounts receivables and unbilled days
- streamline workflow processes to reduce claims requiring 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 of compliance expectations and coding requirements
- Chargemaster
- Revenue Integrity Director, Manager / Supervisor
- Revenue Integrity Analyst, Auditor, Coordinator, Specialist
- Billing Compliance Auditor
- Charge Capture Manager, Analyst, Specialist
- Director of Quality