How do you supplement the work I do today for revenue integrity?
Using predictive analytics, machine learning and continuously updated rules, our system automatically reviews your accounts for missing charges, under-coding, coding variances and overcharging. Our coding auditors check flagged charges to see if they’re consistent with your charging policies, then ensure and abstract supporting medical records documentation, so you can address issues within timely filing requirements. To maximize hospital and professional revenue integrity, Epic Revenue Guardian and Charge Review edits take the first pass and then our system assesses all patient classes for ‘complete’ accounts in either a pre-bill or post-bill configuration. Our comprehensive approach to revenue integrity supports a standardized EAP build and secure link between orderables, performables and chargeables.