2 Tips for Optimizing Revenue Integrity in 2023

Since revenue integrity departments tend to be relatively new, many leaders wonder how to best elevate a revenue integrity program. As the revenue cycle continues to be an area of focus for organizations looking to prosper in 2023, revenue cycle leaders have turned to streamlining (and even creating) revenue integrity departments to reduce the risk of noncompliance, optimize payment, and minimize the expense of fixing problems downstream with claim edits. Better-performing revenue integrity programs have clear objectives with defined roles and expectations. This prevents overlap between functions, including those of the billing office, compliance, internal audit, and clinical operations. Your revenue integrity program charter should include a clear objective. In addition to stating the objectives of the revenue integrity program, specific key strategies can help a program maintain focus to meet its objectives. Better-performing organizations employ these strategies in creating, implementing, and sustaining their revenue integrity programs.