The Importance of Technology Solutions From Your Revenue Integrity Partner

Revenue Integrity Partner Technology

One of the most important elements in a revenue integrity partnership is technology. When considering engaging a revenue integrity partner or optimizing your current strategy, a commitment to technology will be an asset to the revenue integrity management teams.  Healthcare has changed dramatically, even in the last decade, with greater access to technology. Technology enables […]

The Importance of Clinical Expertise in A Revenue Integrity Partner

Revenue Integrity Partner Clinical Expertise FI

When considering engaging a revenue integrity partner, it’s essential to focus on three main components: clinical expertise, the right technology, and proven client success, but for this article, we will focus on clinical expertise. Clinical expertise is critical in solving clinical and coding review challenges. Some important qualifications include:  Having a team of industry veteran […]

Key Considerations for Outsourcing Your Revenue Cycle

Outsourcing Revenue Cycle Management Considerations

Hospital systems could be in danger of losing $122 billion in revenue by the end of 2021. The American Hospital Association commissioned a study to examine the effects of the COVID-19 pandemic on hospital revenue. They found that hospital revenue will likely continue declining throughout 2021 to make up for the increase in drug, labor, […]

Revenue Integrity: Analyzing and Reporting

Revenue Integrity Analyzing and Reporting

In the healthcare industry, as with an industry involving business units, it’s common to see gaps form between clinical operations, coding teams, and patient accounting. This is a universal issue and not necessarily the fault of any one system. As a best practice, revenue integrity can be used to bridge some of these naturally occurring […]

IB Predict: The Present Future of Itemized Bill Review

IB Predict The Present Future of Itemized Bill Review FI

Estimated administrative costs in the U.S. healthcare system related to billing and insurance hit $496 billion in a 2019 report released by Centers for Medicare and Medicaid Services. Central to this cost riddled with excess is the claims process between payer and provider, including claims submissions. Wherever there’s excess, there’s an opportunity to “trim the […]

Healthcare Interoperability Benefit #3: Improved and Consistent Patient Healthcare

Benefits of Interoperability

In final rules issued on March 9, 2020, the CMS Mandate for healthcare interoperability requires a patient to have instant access to their medical information via a third-party application. Effective July 1, 2021, convenient patient access to personal medical records as mandated by the Patient Access Rule enables patients to directly engage their own treatment […]

3 Reports You Should Be Receiving from Your Denial Management Data

3 Denial Management Reports FI

Imagine a scenario where $150,000 in claims were denied in the first quarter of the year. However, through a thorough examination of the data in just three reports, your team is able to implement additional training for your team, review and adjust documentation for certain payers, and adjust the coding on specific services. With these […]

Healthcare Interoperability Benefit 2: Reduced Admin Burden & Overall Healthcare Costs

Doctor reviewing patient medical records

Here at Advent, our expertise as a solution provider in the healthcare ecosystem is to convert clinical information to FHIR® standard and provide an open API that allows its exchange between payers and providers, effectuating efficiency and reduced administrative costs in the claims process. We understand the nuances of the healthcare claims review process and […]

Healthcare Interoperability Benefit 1: Streamlined Data Exchange Between Health Plans, Healthcare Providers, and Patients

X-ray machine

According to a study conducted by Johns Hopkins, 44% of medical error deaths were preventable. As the CMS Mandate for healthcare interoperability approaches, the requirements come not a moment too soon for an industry lacking effective data exchange capabilities. Medicine and treatments have advanced tremendously through the years, as we’ve witnessed with the rapid development […]