By Susan Gatehouse, RHIT, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
Whether you work for a full-scale enterprise or a smaller healthcare facility, revenue integrity programs' increasing importance is consistent; beyond ensuring accurate billing and collection, these programs should strengthen reimbursement performance and provide sound financial practices.
There has been a continual rise in revenue integrity's importance and the need to connect all the clinical and operational links in the chain in recent years. Revenue integrity, as a division of RCM, involves processes that ensure workflows for revenue accuracy. RCM establishes procedures, and revenue integrity is considered the building block to ensure accuracy, consistency, and optimal reimbursement. Essentially, revenue integrity is a critical link that should by design connect clinical operations with coding and business office functions.
Revenue Integrity remains a developing function for hospitals and health systems; however, with the ever-volatile healthcare environment, revenue integrity is becoming a top priority of financial leaders in healthcare.
In a recent ICD10 Monitor article by Axea's CEO, Susan Gatehouse, you can learn how to ensure a well-structured RCM program through fine-tuning revenue integrity functions. True Revenue Integrity goes beyond securing accurate billing and collection and should strengthen reimbursement performance and provide sound financial practices.
You can read the article in its entirety Here