Revenue Integrity and Reimbursement Strategies for better ROI
- SolvEdge
- Mar 17, 2020
- 4 mins read
Trending healthcare terms used by providers is revenue integrity.
Healthcare Organizations realize the need to address revenue integrity to boost revenues and to ensure regulatory compliance.
How do hospitals, physician groups and other healthcare providers go about the revenue integrity model?
A proactive strategy that focuses on real-time assessment and mitigation of risks to sustain the revenue stream for a better ROI, will play a pivotal goal for healthcare organizations.
Focusing on Value-Based Care and Revenue Management
Healthcare landscape is shifting apace, and the prescription right now is to reshape the approach of care and revenue cycle management which will play a crucial role in the financial health of health care organizations.
Healthcare organizations are increasingly investing in population health as the landscape is shifting towards value-based care. Preventive and proactive care is essential to identify the most at-risk patients to provide timely interventions which leads to better healthcare outcomes.
Physicians have to be involved as the healthcare organizations are going through a paradigm of shift from their usual revenue cycle management to a more broader approach encompassing the revenue integrity model.
For a full alignment of hospital and physician the culture should be right. Revenue integrity is massive on change management. The need of the hour is a shared purpose organization – one joint mission. How do healthcare organizations achieve that – by aligning people, process and technology.
Align People Cohesively managed by both the finance and clinical departments
Align Process Build a process in place that focuses on the critical analytics that drives revenue integrity
Align Technology Ai driven tech solutions that integrate clinicals and financials with KPI’s.
From Front-end functions like patient access and eligibility, mid-level functions like coding and case management to back-end functions like managing edits are core revenue integrity solutions that are excelled by us.
