Revenue Integrity Healthcare Definition

At first glance the concept of revenue integrity may seem easy to define.

Revenue integrity healthcare definition. The key word here is legitimate as in legally and contractually compliant. Uw health revenue cycle administration department administrators coding coordinators uw health managed care contracting. Google the term revenue integrity and you get 790 000 results. That still doesn t help much.

Revenue integrity is woven into each of these processes and surrounds them with additional elements such as sound compliance and privacy practices automation and technology leadership and mentoring of staff demonstration of ethics at the highest level diligent monitoring analytics and anticipation of changes in the healthcare reimbursement and regulatory landscape. Refining it to revenue integrity in healthcare narrows it down to 380 000 results. 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. Creating a revenue integrity definition.

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

When a person has integrity he or she is honest and morally upright even when that requires decisions and actions that may not serve one s personal interests. The fact is there isn t one universally accepted definition of the term. That still doesn t help much. The fact is there isn t one universally accepted definition of the term.