Revenue integrity is the process to review and improve to maintain and even enhance the financial position of healthcare facilities. At its most basic level it is the focus on processes to prevent revenue loss. Revenue integrity is achieved with a dedicated team of managers and staff of auditors and analysts that functions to improve processes throughout the revenue cycle to prevent revenue leakage and improving cash flow. This is done through charge description master optimization, outpatient charge audits, inpatient charge audits, managed care payment variance analysis and denial review and mitigation.
This course will detail the concepts of revenue integrity and structuring a revenue integrity team or department.