What Is Revenue Integrity in Healthcare?

Healthcare payment integrity may get all the buzz, but revenue integrity is just as important

If you do a search for “healthcare payment integrity,” Google will return pages and pages of relevant results. Some payment integrity vendors even pay advertising fees so their payment integrity solutions appear high on the results page. If you try to search for “healthcare revenue integrity,” however, the results aren’t as many or as relevant.

So what is revenue integrity when it comes to healthcare and what do revenue integrity solutions do?

When it comes to healthcare, revenue integrity relates to Medicare Advantage plans receiving the full premiums they are owed.  These solutions help restore underpaid premiums to Medicare Advantage plans and correct the root cause of the underpayment.

The video below explains more.