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In today’s complex healthcare environment, the mid-revenue cycle has emerged as a critical area of focus for revenue integrity leaders. It’s where clinical documentation, coding, and compliance converge—and where missteps can lead to millions in lost or delayed reimbursement. Pre-bill…
Charge reconciliation is a critical yet often overlooked process in the healthcare revenue cycle. It ensures that every service provided by a hospital or health system is accurately captured, billed, and reimbursed. However, many organizations still face persistent gaps in…
In today’s complex healthcare revenue cycle, accurate coding and timely billing are paramount. Historically, many hospitals have relied on post-bill audits to identify and correct errors. However, while post-bill reviews serve a purpose, they come with significant drawbacks that can…