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Revenue Integrity / Underpayment 2019

Revenue Integrity / Underpayment 2019
High Value Reported in High-Performing Market

Authored by: Boyd Stewart and Alex McIntosh December 12, 2019 | Read Time: 3  minutes

Healthcare organizations lose money when underpayments, transfer DRGs, and denials cause insurance payments and other types of income to be left on the table. Revenue integrity firms aim to solve this problem by helping organizations retroactively recoup revenue and proactively prevent future loss. In a big win for healthcare organizations, these firms are very high performing overall—of the services segments KLAS measures, revenue integrity is rated third overall and first for value and customer loyalty. Rather than splitting hairs on the performance of a high-performing pool of options, this report focuses on firms’ individual services offerings to help organizations find the best fit (or fits, as many organizations leverage multiple firms).

Healthcare Providers,
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Key Findings

  1. What Revenue Integrity/Underpayment Services Are (and What They Aren't)
  2. Performance of Revenue Integrity Firms
  3. BESLER Fights for Clients
  4. Revecore Praised for Skilled team, Close Communication
  5. Revint's Broad Offering Delivers Quick ROI
  6. TransUnion Healthcare Provides Tailored Approach
  7. Triage Partners, Puts Clients First
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2020 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.