ICD10monitor July 7, 2025
The shift from fee-for-service to value-based care (VBC) is reshaping how healthcare organizations are reimbursed and evaluated. In this new environment, success hinges not only on how many services are rendered, but on the quality of those services, patient outcomes, and overall cost-effectiveness.
Amid this transformation, revenue integrity has become more complex and more critical than ever. Health information management (HIM) professionals are essential to navigating this complexity, playing a key role in identifying and correcting sources of revenue leakage that threaten both financial sustainability and clinical performance metrics.
What Is Revenue Leakage in a Value-Based Model?
Traditionally, “revenue leakage” referred to missed or unbilled charges. Today, it includes a much broader spectrum of documentation and coding vulnerabilities that directly...
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