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Revenue Integrity - Minding the Gap Between Clinical, Coding and Billing

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Revenue Integrity - Minding the Gap Between Clinical, Coding and Billing

Forward-looking health systems are beginning to create newly defined roles and entire departments dedicated to revenue integrity. The goal is to bridge the gaps that naturally form between clinical operations, coding teams and the business office. Revenue integrity focuses on better coding and charge capture, in particular, to reduce the risk of noncompliance, optimize payment and minimize the expense of fixing problems downstream with claim edits.

In an industry where “no margin means no mission,” revenue integrity is emerging as a tool and initiative to enhance margin and preserve the mission of health systems.

An HFMA survey found that 22% of healthcare finance executives identified revenue integrity as the leading priority for their organizations, but fewer than half have established programs.

Fill out the form below to download HFMA's Revenue Cycle Strategist September article to help establish the importance of having a revenue integrity department at your organization.