Case Study: Building a Revenue Integrity Department from Scratch

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“It doesn’t take long to see that there was a lot of money left on the table.”

At UMC Health System in Lubbock, Texas, Micky Allen could see that millions of dollars were being missed.  The healthcare provider was not charging for all the services it provided patients, and that had to change.

He didn’t know it at the time, but he had just taken the first step to building UMC’s first Revenue Integrity Department.

While Allen was the spark that began this new chapter in the hospital’s revenue cycle, he couldn’t do it alone. He needed a team of dedicated and experienced individuals who would sniff out  opportunities throughout the provider network and convert them into solid and consistent revenue streams. “Building a Revenue Integrity Department from Scratch: One Hospital’s Story” is a case study of how UMC was able to reassign and repurpose existing staff to build an effective revenue integrity department that today is bringing in millions of dollars.

As readers will learn, it is one thing to dedicate a back-office department to uncover missing charges, but it is quite another to persuade the clinical staff that they need to be part of the solution. In this case study, Allen and his team explain how they were able to engage clinical staff constructively. “Let us charge for those wonderful things you do,” became an unspoken mantra.

Download this case study if you want to learn:

  • Advice on how you can build your own revenue integrity department without increasing significant overhead or headcount;
  • The secret weapon to what makes revenue integrity departments effective and why they may not be working in your hospital.
  • Why revenue integrity is the future of healthcare revenue cycle management, and why without it you may be missing revenue opportunities.
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Posted in Billing and Coding, Denials Management, Medical Receivables, Patient Financial Services .

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