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REVENUE INTEGRITY
Leverage innovative technology and expert staff to optimize the middle revenue cycle and drive maximum reimbursement and compliance.
95 % Coding accuracy standard
All Revenue Integrity Solutions
Optimize resources using our Clinical Access and Triage Management Services
Route patients to the most clinically appropriate, cost-effective care setting using our expert staff, evidence-based protocols, and clinical decision-support tools.
Our staff leverages technology-enabled workflows to deliver best-in-class services.
Deliver appropriate care with Utilization Management Services
Optimize reimbursement and reduce medical-necessity denials using an evidence-based, clinical decision-making tool.
Our services help patients receive quality, cost-effective care while helping you reduce compliance risk.
Optimize charge capture with Clinical Documentation Improvement Services
Reduce missing charges and denied claims by improving the quality of clinical documentation.
Our staff performs concurrent or retrospective reviews, identifies gaps in diagnoses and procedures, and provides education and best practices.
Optimize revenue and compliance with expert Physician and Hospital Coding Services
Optimize your medical coding accuracy and efficiency with skilled professional coders.
Our staff can augment or fully manage your coding or provide interim assistance during system changes or with backlogs.
Mitigate risk with our Coding Quality and Audit Services
Achieve financial and data-quality goals with quality review programs.
Our services help you mitigate risk by identifying compliance issues, educating staff, and implementing compliance plans that drive continuous quality improvement.
Improve reimbursement and mitigate risk with Charge Capture Compliance Audit Services
Identify missed revenue opportunities with a comprehensive review using a hybrid approach of data analytics and clinical staff.
Our services include claim, documentation, and process reviews that identify under- and over-billing to improve efficiency and revenue.
Our outcomes
Resources
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- Patient Financial Clearance Solutions Learn how our patient financial clearance solutions help improve patient access workflows, accelerate reimbursement, reduce denials, and increase collections. Learn more
- Healthcare Claims and Denial Management Solutions Learn how we help hospitals to better manage denied claims while providing expert assistance in handling appeals with our denials & appeals management services. Learn more
- Healthcare Revenue Cycle Analytics Solutions Discover our revenue cycle analytics solution for healthcare providers that want a cross-functional view for making timely decisions impacting financial outcome Learn more