Revenue Integrity Solutions

Revenue leakage is a problem
that still plagues hospitals.

Revenue Integrity Experts serving hospitals of every size and region

BESLER offers a suite of services to address common mid-revenue cycle concerns. Whether you have an existing revenue integrity team who wants to recover more revenue – or no revenue integrity team – BESLER’s Revenue Integrity Solutions can help your hospital capture more of the revenue it’s rightfully earned – and stay compliant.

Inpatient DRG Validation

Improvements in coding accuracy from 25-60% translating to tens of thousands of dollars hospitals have recovered.

Transfer DRG Revenue Recovery

Ensure you’re identifying all potential underpayments. Even after another vendor review, our second sweep of the same claims often identifies 30% or more additional revenue.

Auditing Services

Rapidly identify compliance issues on medical claims for hospitals specifically interested in validating the compliance of their claims. Retrospective audit of technical coding encounters – focusing on specific services lines or procedures of interest.

Medicare Advantage (MA) Transfer DRG

Provide validation of impacted claims to ensure you’re identifying all potential underpayments for MA plans.

IME Revenue Recovery

Quickly uncover Medicare Advantage shadow claims meaning more payments, more revenue and fewer headaches.

Overpayments

Accurately identify and report overpayments to ensure you’re completely compliant with Medicare regulations.

Charge Capture Review

Track a charge from the medical record to the detailed bill to the final submitted claim to the remittance advice.

ICD-11 Education

COMING SOON: Receive 30 hours of self-serve ICD-11 education for your team, recorded for future use.

Why Partner with BESLER?

Request Your Complimentary Underpayment Recovery Estimate Now

No costly software implementations.
Majority of revenue integrity solutions are contingency-based, no risk or out-of-pocket costs.
Revenue can be realized as soon as 30 days after onboarding.
Our Revenue Integrity solutions have a 94.1 rating with KLAS and have earned the coveted “Peer Reviewed by HFMA®” designation.
We achieved HITRUST Risk-based, 2-year (r2) Certification.

What is Healthcare Revenue Integrity?

Healthcare revenue integrity includes ensuring compliance, coding accuracy, appropriate charge capture and reasonable pricing for services provided.

Healthcare revenue cycle teams are experts in every component of the billing process, but their primary focus is identifying issues that may delay a bill, resolving those issues and getting the bill sent out as quickly as possible.

This differs from a Revenue Integrity team tasked with educating staff and proactively identifying workflow issues. As the name implies, identifying all facets that could prevent a high level of hospital revenue integrity from being achieved is key.

Contact Our Team

The highly skilled members of Revenue Integrity teams must understand both the back-end billing process and the front-end billing process. This unique combination of experience gives them the insight to identify and overcome roadblocks to achieving consistent integrity in revenue.

True operational experts – across a health system. Revenue Integrity professionals no longer spend their entire time at a desk located in a building apart from clinical staff – they now regularly interact with clinicians – building relationships and developing partnerships ensuring efficiency.

Guaranteeing the integrity of revenue is critical in these everchanging times. Healthcare providers are challenged to do more with less while treating a growing number of patients.

What Our Clients Have to Say About Our Revenue Integrity Solutions

BESLER is very knowledgeable.

“BESLER is very knowledgeable about the business that they are in, and they are good with communication. BESLER knows what they need when they are providing their service. We have regular meetings, and the firm always reports on the data we give them. BESLER updates us on where they are with the data and their recoveries. The firm does a great job of collecting the collectible dollars, and that reduces pain points if it is generating revenue for us.”

Manager, June 2023

Partner with BESLER for Proven Solutions.