3 Essential Steps for Integrating Revenue Cycle, Clinical Documentation, and Utilization Management

Megan N. Beasley, RHIA, CPC, CPMA; Colleen O. Hall, CPC, CIRCC, CPMA;and Megan R. Sorensen, CPMA
In the increasingly complex business of healthcare, it is easy to see how departments within an organization can unintentionally drift into their own silos. This segmented approach, however, can have negative results that affect patient care, payer relationships, and the bottom line. With U.S. hospitals losing approximately $262 billion per year due to denied claims from insurers,1 having essential departments all working toward the same goal is critical to operational and financial success.