Integrated Revenue Management, Inc.

Revenue Process Improvements

IRM advocates transactional audits of actual claims for correction. Through this transactional audit process, our partner RMDs identify trends and perform root cause analysis to determine why such errors are occurring. Through interviews, flowcharting and process mapping, the RMD corrects the issue and monitors to prevent re-occurrence. All process improvement initiatives are quantified for net financial impact and summarized in a Plan, Do, Check, Act form (as advocated by JCAHO).



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Blood Admin Charge Capture



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Brachtherapy Charges



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Cath Lab Rx Pricing



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Dialysis Special Project



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Discharge Disposition



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EC Facility Fee Distribution



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ER Medicaid Special Project



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Labor and Delivery Charge Capture



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Medicaid EC Claims Being Denied as Non-Emergency



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Nuc Med Special Projects



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Portable X rays on Medicaid Outliers Special Project



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Recovery Charging Issues



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Surgical Prep Charges for Dermagraft



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Venipuncture Charges

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