DENIALS & REVENUE INTEGRITY SERVICES

Is your approach to Denials and Revenue Integrity driving the results you need?

Our expert team will assess, enhance, and craft solutions to boost compliance and financial performance. Let's build a winning strategy together.

CONTACT US TODAY!

UASI is Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide

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Optimize Your Denials Management & Revenue Integrity with UASI

At UASI, we specialize in providing comprehensive denials and revenue integrity services tailored to the unique needs of healthcare organizations. Our expert team helps you optimize your revenue cycle, reduce denials, and maintain compliance with industry regulations. With our support, you can achieve financial health and sustainability, allowing you to focus on delivering exceptional patient care. Whether you need staffing support, program design, thorough assessments, or targeted education and training, UASI is your trusted partner in revenue integrity.

Denials Management & Revenue Integrity Staffing and Managed Services

Maximize your revenue integrity with our expert staffing and managed services. We provide:


  • Top-Tier Consultants: Access experienced professionals in inpatient, outpatient, and utilization review coding to meet your coverage needs. Whether you need full outsourcing solutions or additional support for your existing team, we’ve got you covered.
  • Pre-Bill Assurance: Leverage the expertise of our Clinical "Pre-Bill Assurance" Second Level Reviewers to ensure accurate documentation and coding before billing, maximizing reimbursement and maintaining compliance.
  • Denials Management: Our specialists can help establish and manage a robust denials program, identifying common denial reasons and implementing strategies to minimize revenue loss.
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Denials Management & Revenue Integrity Program Design, Implementation & Optimization

Create and maintain a successful revenue integrity program with our customized solutions:

  • Program Development: Get a clear and insightful overview of your current revenue integrity practices, highlighting strengths, weaknesses, opportunities, and actionable recommendations for improvement.
  • Implementation Support: Our team can assist with the implementation of your revenue integrity program, providing hands-on support to build and optimize processes, monitor progress, and ensure accuracy.
  • Continuous Improvement: Keep your program on the cutting edge with regular reviews, reporting, and "check-ins" to maintain high standards and adapt to evolving industry requirements.
Let's Talk

Denials Management & Revenue Integrity Assessments & Audits

Ensure your revenue integrity practices are compliant and optimized with our thorough assessments and audits:


  • Comprehensive Audits: Benefit from detailed assessments of your documentation, coding, and billing practices to identify gaps, ensure accuracy, and maintain compliance.
  • Risk-Based Compliance Assessments: Address the need for rigorous compliance audits to mitigate risks and enhance financial performance.
  • Denials Program Evaluation: Receive expert evaluations and recommendations to establish or improve your denials program, reducing revenue loss and enhancing efficiency.
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Denials Management & Revenue Integrity Education and Training

Empower your team with the knowledge and skills needed to excel in revenue integrity:


  • Customized Training Programs: Access educational solutions designed to meet the specific needs of your staff, from basic to advanced levels.
  • Workshops and Webinars: Participate in targeted training sessions led by industry experts, covering best practices, regulatory updates, and practical strategies for improvement.
  • Ongoing Support: Benefit from the guidance of experienced revenue integrity preceptors who work alongside your team to develop new skills and provide continuous education.
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"The Results Speak for Themselves"

-Pam S.   |  CDI Director, Sharp Healthcare

Sharp HealthCare’s CDI Transformation: Sharp was able review 90% of all their DRG payors within 1 year as opposed to the 60% rate the years prior. Currently, they review 98% of DRG payors and 90% of all payors at 48 hours.  Sharp hit $19M in 2023 in query impact, up from $11M the previous fiscal year. These were dollars that could have been left on the table had they not acted. Quality scores also improved.


$8 million financial impact in 1 year

72% increase in query impact
Download the Case Study

Keep your head in the clouds, but your strategy grounded with UASI!

By scheduling a consultation with UASI, you'll gain access to our team of experienced consultants who will assess your current processes, identify pain points, and propose customized solutions. We'll work closely with you to develop a roadmap for success, addressing your unique challenges and goals.


LET'S GO!

FAQs

  • How does revenue integrity impact healthcare organizations?

    Revenue integrity ensures that all services rendered by healthcare providers are accurately documented, coded, and billed. This helps in maximizing reimbursements, reducing denials, and maintaining compliance with regulatory requirements. Effective revenue integrity practices safeguard the financial health of healthcare organizations and support sustainable operations.

  • What sets UASI apart from other revenue integrity service providers?

    UASI stands out due to our comprehensive approach, experienced team, and commitment to client success. Our experts work closely with healthcare organizations to identify gaps, implement best practices, and provide ongoing support. We focus on delivering customized solutions that address the unique challenges and goals of each client.

  • Can UASI assist with establishing a denials program?

    Yes, UASI can help you establish a robust denials program. We provide comprehensive services, including identifying common denial reasons, developing prevention strategies, and implementing processes to manage and appeal denials effectively. Our goal is to minimize revenue loss and enhance overall financial performance.

  • What are the benefits of partnering with UASI for revenue integrity services?

    Partnering with UASI offers several benefits, including access to expert consultants, improved revenue capture, reduced denials, and enhanced compliance. Our tailored solutions help healthcare organizations optimize their revenue cycle processes, leading to better financial outcomes and operational efficiency.

  • What are the key components of a successful revenue integrity program?

    A successful revenue integrity program includes accurate documentation, comprehensive coding and billing practices, regular audits and assessments, effective denials management, and continuous education and training. It also involves the use of advanced analytics to monitor performance and identify improvement opportunities.



  • What types of revenue integrity services does UASI offer?

    UASI offers a range of revenue integrity services, including:


    • Auditing and Compliance Assessments
    • Establishing and Managing Denials Programs
    • Pre-Bill Second Level Reviews
    • Revenue Cycle Process Optimization
    • Ongoing Monitoring and Improvement

  • How does UASI ensure compliance with regulatory requirements?

    UASI ensures compliance through thorough audits, continuous education, and up-to-date knowledge of regulatory changes. Our team of experts stays informed about the latest industry standards and guidelines, ensuring that our clients' practices remain compliant and avoid potential penalties.



  • How does UASI support ongoing staff development and education in revenue integrity?

    UASI provides targeted training programs, workshops, and webinars designed to enhance the skills and knowledge of your staff. We offer customized educational solutions that address specific needs and challenges, helping your team stay current with best practices and regulatory requirements.

  • What is revenue integrity and why is it important?

    Revenue integrity involves ensuring that healthcare services are accurately documented, coded, and billed, leading to proper reimbursement and compliance with regulations. It is crucial for maintaining the financial health of healthcare organizations, supporting operational sustainability, and delivering quality patient care.

  • What is the process for partnering with UASI for revenue integrity services?

    Partnering with UASI for revenue integrity services starts with an initial consultation to understand your specific needs and challenges. We then develop a tailored plan, implement the necessary solutions, and provide ongoing support to ensure continuous improvement and success. Contact us today to get started!