Healthcare IT Today May 10, 2024
The following is a guest article by Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, CHFP, Senior Director of Revenue Integrity at Xsolis
The concept of “revenue integrity” hasn’t really changed over the years, but the roles, responsibilities, and oversight have become far more complex and difficult to gain industry consensus around. What began as several defined systems of controls by which hospitals guarded against revenue loss, revenue integrity has seemingly turned into more narrowly focused controls in many organizations, leaving critical gaps in what once was a more holistic approach to fiscal oversight.
In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and...
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