Revenue Integrity: Optimizing Compliant Reimbursement

Improving charge capture accuracy, claims audits and root cause analysis, executives responsible for revenue integrity are analyzing greater levels of claims to identify and shrink revenue leakage, ultimately reducing denials, write-off’s, and shortening A/R timelines, maximizing net revenue. Facing challenges including a shifting payer environment where policies and rules frequently change and are highly inconsistent, to increasing compliance risks with investigations of coding and billing, to staffing resource constraints, revenue integrity executives find themselves in great need of industry collaboration, and the opportunity to share best practices and practical solutions.