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- Work Queue (WQ) Maintenance
Create, Manage & Modify WQ Activities daily to minimize excessive backlogs from occurring
- HIPAA Privacy & Interoperability
Covered Entities and Business Associates have Direct Liability for securing and protecting PHI
- RI Metrics Strategy
An efficient Claims Management Strategy within the new (RI) landscape requires KPI utilization to identify areas in need of potential process improvements and operational transformation!
- Pre-Bill Edit Management Analysis
Automated Pre-Bill Edits are flagged and prevents the claims from dropping for billing
- Charge Reconciliation Proc. Improvement
Clinical Departments must assume ownership and reconcile their charges daily!
- RI Charge Integrity
Enterprise-Wide RI and HIM Governance, CDI, Coding, and Charge Integrity Initiatives
- CDM Management & Maintenance Audits
Optimize your Charge Description Master (CDM), and Enhance Your Reimbursement Opportunities
- Pre/Post EHR Implementations
Set Clear and Measurable Pre/Post Implementation, Launch, and Go-Live Goals
- HIM and Revenue Integrity
HIM and RI work together to Achieve Operational Efficiency, Compliance, and Optimal Reimbursement Objectives