Revenue Integrity Week: Resources for Success
by XSOLIS Insights, on Jun 4, 2018 6:00:00 AM
It’s Revenue Integrity Week! This annual week of recognition and celebration, presented by the National Association of Healthcare Revenue Integrity (NAHRI), is an opportunity to bring awareness and appreciation to the efforts of revenue integrity professionals across the country.
From mitigating compliance risk to ensuring revenue retention, the role of revenue integrity professionals is as critical as it is complex. We’ve compiled a set of resources designed to support you:
Zach Evans, Chief Technology Officer at XSOLIS, discusses the trends that are shaping the future of case management, and what to expect in the coming years.
Report (from NAHRI): 2018 State of the Revenue Integrity Industry Survey Report
This report details the activities, backgrounds and challenges of the modern revenue integrity professional.
Tonya Harrison, Director of Clinical Care Management at Atrium Health (formerly Carolinas HealthCare System), discusses how Atrium Health has moved beyond traditional utilization management by using artificial intelligence technology and predictive analytics to help review cases, resulting in significant time savings and increased compliance.
Rikki Moye shares a model framework designed to manage the flow of resources needed by a patient proactively versus “chasing” to review and validate the use of resources after they’ve been consumed.
Article (in Becker’s): Taking a real-time: approach to analytics and artificial intelligence
Dr. Heather Bassett shares how analytics and artificial intelligence capabilities are changing the nature of care determinations and delivery.
Mary Beth Bednarz shares the changes case management has undergone with the introduction of the two-midnight rule, and how she has used technology to overcome process inefficiencies and short stay claims.
Article (in Becker’s): Why utilization management matters
Joan Butters, CEO of XSOLIS, on why managing care effectively and efficiently should be a leadership priority and a metric of organizational success.
These seven habits set highly effective case managers apart.
Tara Dwyer, RN, shares her thoughts on the current compliance landscape and how providers can reframe their approach to denial prevention.
An effective peer-to-peer review process requires three things: the right data, the right format and the right approach.