What you need to know about: Reducing missing, misclassified or unmaintained documentation

Healthcare professionals weigh in on the conversation.

Revenue Integrity activities have historically been problematic for most healthcare providers and can have a significant impact on annual net revenue levels. 

During a recent webinar, the Baker Tilly Healthcare consulting team discussed solutions that reduce revenue leakage in revenue cycle activities. Attendees were asked questions about their current Revenue Integrity programs and automation tools used to improve financial viability and staff outcome contribution. View the infographic to learn more.

Revenue Integrity

Revenue Integrity activities have historically been problematic for most healthcare providers and can have a significant impact on annual net revenue levels.

27 percent of respondents said they did not know how much is financially at risk within their organization from a Revenue Integrity perspective.

As reimbursement models continue to evolve, it is important that automation of core processes is used to drive optimal financial results and reduce costs. In this shift from a traditional Revenue Integrity model to a modern and comprehensive Revenue Integrity strategy, these components must be considered:

  • Both professional and technical charge management
  • DRG optimization efforts
  • Continual intersection between Revenue Integrity and CDI initiatives
  • Charge Description Master maintenance is still integral to providing care
  • Automation and machine learning integration
  • Supply chain implications/cost containment

52 percent of respondents said they think their organization would benefit from a modernized Revenue Integrity program.

Respondents were asked what they think is the most important characteristic of a modernized Revenue Integrity program.

  • 11 percent said machine learning
  • 15 percent said exception based workflow
  • 23 percent said robotic automation
  • 51 percent said enhanced management visibility/analytics

Key takeaway

It is time for leadership to start thinking about modernized Revenue Integrity programs that implement the best tools and techniques to ultimately optimize performance.

Questions about your revenue cycle activities? Visit bakertilly.com/rcminnovation for more information.

Journey to $1 billion

Baker Tilly is committed to delivering $1 billion back to the provider market in three years.

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