Inaccurate Patient Information
Inaccurate and incomplete patient registration data and documentation is one of the main causes of revenue leakage.
Documentation is inadequate to support accurate coding and ‘lower’ codes are used instead, directly impacting revenue.
Chargeable supplies and devices used during encounters are not billed.
Lack of Integration
Inadequate data flow between disparate systems and locations makes drawing business conclusions difficult and subject to human error.
Lack of insurance verification, or human error during verification, leads to denials.
Fees, Reimbursement and Contracts
Underpayments go unnoticed because commercial agreements, contracts and fees are not loaded into systems.
Like many healthcare organizations, your RCM technology has grown organically over time to accommodate the best solutions for patient health management and individual claims cycle challenges. Information is now siloed in different platforms and locations, creating gaps in operations and efficiency. These gaps produce situations that cause denials, slow down reimbursement and leak revenue.
Our system drills down to identify the exact cause of revenue leakage and fills operational gaps to ensure revenue integrity.
Learn more about protecting your revenue by scheduling a demo today.
Revenue integrity is a top priority for many hospital and health system CFOs.
Only 44% say their organizations have established programs.
Those that employ revenue integrity report eye-opening results:
increase in net collection
overall gross revenue capture
reduction in compliance risk
*Source: 2017 HFMA/Navigant Consulting Survey