Revenue Integrity Best Practices

Refining it to revenue integrity in healthcare narrows it down to 380 000 results.

Revenue integrity best practices. The key word here is legitimate as in legally and contractually compliant. A best practice structure has the senior revenue integrity leader reporting directly to the vice president of revenue cycle and having two people reporting directly to them. A best practice structure has the senior revenue integrity leader reporting directly to the vp of revenue cycle and having two direct reports a director manager revenue auditing and a director manager process improvement training. With a good revenue integrity program in place organizations should experience improved financial results today s healthcare leaders understand the importance of improving practices in order to optimize outcomes and the patient experience.

Remember that revenue integrity is not just for hospitals. A hospital that institutionalizes revenue integrity has likely prioritized an approach to coding encounters in a way that maximizes legitimate reimbursement. Nahri s definition of revenue integrity the basis of revenue integrity is to prevent recurrence of issues that can cause revenue leakage and or compliance risks through effective efficient replicable processes and internal controls across the continuum of patient care supported by the appropriate documentation and the application of sound financial practices that are able. The goal of ri according to the national association of healthcare revenue integrity nahri is to prevent recurrence of issues that can cause revenue leakage and or compliance risks through effective efficient replicable processes and internal controls across the continuum of patient care supported by the appropriate documentation and the application of sound financial practices that.

A director manager of revenue auditing and a director manager of process improvement training. The revenue auditing director leads a team of analysts cdm maintenance smes and charge capture auditors. That still doesn t help much. Equally important are optimally functioning revenue cycle operations it is more important than ever for healthcare organizations to have.

As the number of more and more hospitals acquire physician practices home health agencies and hospices increases a hospital centric approach to revenue integrity is no longer the best approach. Although health systems should feel latitude to decide how to implement a revenue integrity program best practice includes i aligning revenue cycle professionals with the right skill set across service lines ii promoting ongoing and collaborative education of revenue integrity fundamentals iii disciplined goal setting and evaluation for proactive revenue management iv utilizing.