Revenue Integrity Services
Vitalware's Revenue Integrity teams work to analyze and optimize your data, processes, and work environment, and we use Vitalware tools to expedite results in CDM management, Charge Integrity, and HIM / Audit practices. Our personnel is highly experienced and adaptable — and they love to share knowledge and help clients rapidly attain outstanding results and enduring self-sufficiency.
Our CDM consulting teams are focused on rapid and enduring results, creating a fast path to client self-sufficiency. Our technology-enabled service approach is designed to be easy to review and track so we're able to orchestrate quality recommendations quickly.
Vitalware CDM Review teams help clients achieve compliant billing and charge capture processes at the foundation of your revenue cycle—the CDM. These teams focus on major hospital clinical departments providing outpatient services.
Using the VitalCDM tool, standardization teams organize, consolidate, review and create a cross-reference of current individual hospital CDM charge items for a new Enterprise CDM.
CDM Management Services
Vitalware’s CDM consultation and support helps clients manage and maintain a compliant chargemaster to optimize reimbursement while reducing the risk of improper billing practices.
Charge Integrity Consulting
Vitalware charge integrity teams can help you conduct a thorough internal assessment to identify if you are in compliance with your own internal charging practices, using Medicare rules as a default. We'll help you identify corrective actions to promote complete and correct charging as well as compliance. Through our expertise and discipline, our teams can dig deeper to find root causes and patterns, to help you learn from past experiences and take preventive actions.
In addition to avoiding leaving your hard-earned revenue on the table, root-cause analysis and resolution of charging issues lead to improved compliance, cost capture, and more accurate revenue. The more compliant you are, the more revenue you generate. Simply put, the financial case for VitalIntegrity is very compelling.
Auditing Consulting Services
Vitalware Auditing Consulting teams are comprised of credentialed industry experts with diverse experience, knowledge, and skills—and our teams work to share this knowledge to ensure compliant coding practices, improved documentation practices, and appropriate reimbursement. We dig deeper and bring both solutions and expertise to bear to help clients become compliant, optimally profitable, and self-directed. Our experts know this space, know our tools, and they'll work for your team as hard as they do for ours.
Vitalware Auditing teams can help any healthcare provider:
- Minimize compliance risk
- Optimize revenue reimbursement opportunities
- Improve clinical documentation practices
- Ensure appropriate capture of severity of illness (SOI) and risk of mortality (ROM)
- Survey and rapidly reduce risk of improper claims: rejections, underpayment, overpayments, audits, fines, and penalties
- Identify regulatory changes that impact services and delivery
Get started with Vitalware
Learn more about how our software and services can help your healthcare revenue operation elevate to a new standard for quality and efficiency.Get Started