Revenue Integrity

In value-based healthcare, clinical operations are critical to your bottom line. Revenue Integrity gives you complete visibility into clinical documentation and coding—and that of your peers—so you’ll quickly spot opportunities to maximize reimbursements, minimize audit risk, and resolve operational challenges like coding and billing delays.

Start the Value-Based Care Conversation
Connect clinical activity to
financial impact
Benchmark against your peers
Influence clinicians with irrefutable data

Resilient Revenue Integrity Services are designed to evolve with you as healthcare transforms. It gives you the visibility you would like to scale back denials, monitor the impact of documentation and coding performance, and mitigate audit risk. See what our clients have achieved:

• Time spent managing denials – Decrease 30% 
• Case mix index – Increase 35% 
• Take-backs – Decrease 25%

When your coding and documentation indicate the extent of complications related to patient interactions, you’ll be paid accordingly.

Revenue Integrity helps you reduce denials, capture underutilized diagnosis codes, isolate coding and billing bottlenecks, and have interaction with clinicians around documentation concepts that improve specificity.

It’s a matter of finding the proper revenue, not necessarily more revenue. Reduce take backs by protecting revenue and managing compliance with insights into audit risk, appeal success rates, audit volumes, and more.