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Risk-Based Auditing: Why It May Be The Right Choice for Your Organization

The continuing growth of regulatory compliance demands in the healthcare industry – and the heightened risk that comes with it…

Call to Action for Compliance and Revenue Integrity Teams: Address COVID-19 Impact Proactively

The devastation of COVID-19 is being felt in every corner of our world. The healthcare industry is at the forefront…

Using Data Analytics to Ensure Case Mix Index Accuracy

“If it isn’t documented, it didn’t happen.” That’s the familiar mantra of the healthcare industry. But simply documenting a patient…

Why We Take a Cloud-First Approach to MDaudit Enterprise

Forrester analyst Dave Bartoletti has dubbed 2019 as “the year of global enterprise adoption of cloud computing.” Eighty percent of…

Harnessing Transparency to Achieve Revenue Integrity

One of the more prominent issues in healthcare today revolves around the concept of transparency – transparency in patient costs,…

Healthcare Executives Share Ideas on Optimizing Billing Compliance Programs

Billing Compliance and Revenue Integrity leaders work tirelessly on a day-to-day basis to spare their organizations the unpleasant consequences of…

Best Response to the CMS TPE Program? Be Prepared.

In 2017, the CMS began a new auditing program called Targeted Probe and Educate (TPE) “designed to help providers and…

Quality Management Is Key to Optimizing the Business of Healthcare

Quality Management is a familiar concept in healthcare, especially when it comes to organizational excellence and patient safety. Minimizing risks and ensuring…

6 Steps to an Effective Revenue Integrity Program

Each year, the American College of Healthcare Executives surveys healthcare industry CEO’s, CFO’s, COO’s, Revenue Cycle Managers and Compliance Leaders…

Ready for E&M Documentation Simplification? Not So Fast

“The more things change, the more they remain the same.” This French proverb is more relevant than ever when it comes…

Are You Ready for Revenue Cycle Consolidation? A 7 Point Checklist

As the pressure on top and bottom lines grows, many healthcare organizations are focusing on revenue integrity as a way…

Time to Change the Conversation: Take the Next Step Forward in Revenue Integrity

One of the common definitions of insanity is “doing the same thing over and over and expecting a different result”…