Revenue Integrity
Ensure the integrity of a revenue integrity system with us!
Healthcare systems and hospitals lose as much as 4-5% of their revenue due to revenue leakage. As a hospital executive, you should be worried about the outcomes your revenue processes deliver. Shift your focus to maximizing net revenue, improved coding, and compliance and create a scalable error-free revenue cycle process that helps you exceed your financial goals.
Revenue integrity is a critical aspect of healthcare financial management that ensures organizations are adequately reimbursed for their services, maintain regulatory compliance, and improve operational efficiency. As healthcare organizations face increasing complexity in billing and reimbursement processes, focusing on revenue integrity has become more important than ever. We offer comprehensive revenue integrity solutions that help organizations optimize their revenue cycle, improve compliance, and achieve financial sustainability.
Revenue integrity ensures that healthcare organizations get all of the funds to which they are entitled while maintaining adherence to all applicable laws and regulations. This includes correctly gathering prices for services rendered, coding and billing those services, and making sure that claims are submitted and paid in line with legal and contractual obligations.
The pre-requisites we offer are:
Charge capture: Making sure that each service has been properly documented and billed.
Coding and invoicing: These requirements must be followed in order to reduce errors and protect against potential fines.
Claims management: Which includes timely and accurate claim submission, as well as efficient rejection and appeal processing.
Management of payer contracts: Ensuring that contractual terms are followed and that payments are correct.
Compliance with regulations: Staying updated on changes to regulations and laws that have an effect on the revenue cycle.
The revenue integrity specialist team at MedAR Resolve closes these gaps, and handles reporting, audits, and data analysis for the practice, preventing income leakage however it happens and letting the provider concentrate on offering healthcare.