Revenue Integrity Redefined: A Playbook for Leading in an Era of Payer AI

Wednesday, October 28th | 12:00 PM EST 

Payers have changed the rules, and every signal says they are not changing them back. Coding now drives 69 percent of payer audits, and the teams responsible for revenue integrity are absorbing that pressure while billing compliance, coding and HIM, and revenue cycle each work from their own data on their own timeline. Risk accumulates in the gaps between them. Join us for the launch of The Revenue Integrity Playbook, a practical guide to building revenue integrity as one cross-functional program, with a maturity model that shows where your organization stands today and what to do next.

What You Will Learn

• What revenue integrity actually means, and the three failure modes that appear when one outcome is pursued at the expense of the others
• Why MDaudit’s latest payer audit data points to a permanent shift in payer strategy rather than a difficult year
• How revenue cycle, coding and HIM, and billing compliance leaders are each moving from post-bill response to pre-bill prevention
• What governance over autonomous coding has to include to protect the organization from errors at scale
• How to place your program on the Foundational, Contender, and Leader maturity model and choose the one dimension to move first

What You Will Take Away

A copy of The Revenue Integrity Playbook, grounded in MDaudit data from more than 4,500 facilities and $20 billion in annual charges audited, plus access to the free Revenue Integrity Maturity Assessment, which scores your program across audit readiness, denial prevention, technology enablement, and cross-functional collaboration and shows which dimension to address first. Together they give you a shared definition and maturity framework to bring back to your compliance, coding, and revenue cycle teams.