Revenue Cycle Audits
Revant’s high-energy team motivates excellence and reimbursement proficiency through our customized, hands-on, strategy-focused and in-depth approach to the issues facing hospitals today and preparing them for tomorrow. While increasing profits for healthcare professionals remains a moving target, it’s paramount to focus attention on compliant reimbursement dollars.
Revant’s team utilizes this successful methodology while reviewing the entire revenue cycle, beginning with the moment the patient walks into the door, receives services, through the time when the chart is coded by HIM, the claim is sent and adjudicated. We then validate that your facility is receiving entitled and legitimate revenue based on accurate coding, reliable transfer of data, and complete documentation.
Revant's Subject Matter Experts Ensure that:
Auditing Services include:
Revant’s team utilizes this successful methodology while reviewing the entire revenue cycle, beginning with the moment the patient walks into the door, receives services, through the time when the chart is coded by HIM, the claim is sent and adjudicated. We then validate that your facility is receiving entitled and legitimate revenue based on accurate coding, reliable transfer of data, and complete documentation.
Revant's Subject Matter Experts Ensure that:
- Coding is performed correctly
- Accurate charges are hitting the bill
- Codes ‘falling off’ the bill or being deleted by internal staff due to editing problems or a rejection are identified
- Third-party payer is correctly processing the claim
- CERT issues are identified
- Compliance guidelines for coding, billing, modifiers and medical necessity are met
Auditing Services include:
- Outpatient Revenue Cycle Audits
- Inpatient Revenue Cycle Audits
- CDM Analysis/Update/Reconstruction
- Customized Hospital Audits
- Discharge Disposition
- POA
- Documentation Gap Analysis