Revenue Integrity

Revenue integrity refers to the processes and practices that healthcare organizations use to ensure they are accurately billing for services provided, preventing errors, fraud, and compliance issues. It involves maintaining high standards in coding, documentation, and claims submission to secure appropriate payments for care delivered. By focusing on revenue integrity, organizations aim to protect their financial health, improve patient care by ensuring resources are appropriately allocated, and comply with regulations. Essentially, it is about optimizing revenue while safeguarding against financial loss and ensuring ethical practices.