Blogs

Thomas Edison said, “There’s a better way to do it. Find it.” That’s the definition of innovation. Innovaccer was founded to accelerate innovation in healthcare.

Healthcare stakeholders have been slow to react and adapt to the surge in consumerism that is pushing to the industry. 

The Center for Medicare and Medicaid’s (CMS) recent announcement about new eCQM (electronic clinical quality measures) requirements has created a stir among Accountable Care Organizations (ACOs) concerned about scope, implementation, and timeline.

In the context of healthcare, revenue integrity essentially comes down to making sure that each clinical encounter is accurately translated into revenue. In order to achieve this, people, processes, and platforms—all play an important role in realizing operational efficiency, compliance, and optimal reimbursement. In other words, revenue integrity ensures that all patient services are correctly captured, billed, and paid for while ensuring regulatory compliance and an optimal patient experience.

In the context of healthcare, revenue integrity essentially comes down to making sure that each clinical encounter is accurately translated into revenue. In order to achieve this, people, processes, and platforms—all play an important role in realizing operational efficiency, compliance, and optimal reimbursement. In other words, revenue integrity ensures that all patient services are correctly captured, billed, and paid for while ensuring regulatory compliance and an optimal patient experience.

The pandemic has ushered a paradigm shift in healthcare, with the focus on digital technology becoming stronger than ever. For providers, however, accelerating digital transformation in claims management remains a struggle.