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Annual Retainer Service

Researching important matters related to regulatory guidance, billing, coding, and reimbursement can be a full-time job. Most facilities do not have the time required to stay up to date with the ever-changing healthcare landscape. IRI consultants are always on top of the latest regulations and guidelines and regularly present them at our Educational Workshops or via our On-site Training.

Our Annual Retainer Service allows staff at your facility to ask routine questions of our consultants via phone or email throughout the year. We quickly provide answers, supported by regulatory or other guidance, saving your staff hours of time.

Examples of questions include those related to:

  • Reimbursement (APCs, fee schedules, packaging policies)
  • Coverage guidelines (NDCs, LDCs, medical policy articles)
  • Billing guidelines (NCCI edits, MUEs, device dependencies, consolidated billing, revenue codes)
  • Coding questions (HCPCS and CPT code assignments, modifiers)
  • Regulatory changes (CMS proposed and final rule making, change requests and transmittals)

Please contact us for more information.

Charge Master Reviews
Charge Master Reviews

The Charge Description Master (CDM) is an essential tool for organizational success. CDM reviews ensure complete, accurate, and compliant Charge Master files.

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Charge Mapping
Charge Mapping

Experience has shown that having a clean and accurate CDM doesn't always translate into the correct charges being generated 100% of the time.

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Revenue Integrity Audits
Revenue Integrity Audits

Revenue Integrity Audits identify opportunities or deficiencies by analyzing the flow of charges from the point of order through to third-party adjudication.

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Annual Retainer Service
Annual Retainer Service

Researching important matters related to regulatory guidance, billing, coding, and reimbursement can be a full-time job. IRI consultants can save you time.

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On-site Training
On-site Training

IRI consultants are available to perform on-site training for your Revenue Cycle Staff. Our training programs are developed based on your requirements and needs.

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Educational Workshops
Educational Workshops

IRI educational workshops are regularly presented in an easy to understand format. Attendees bring back comprehensive manuals for future reference.

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Annual CDM Impact Analysis
Annual CDM Impact Analysis

Updating your CDM and associated systems in an accurate and timely manner is essential to avoiding billing delays, denials, or improper reimbursement.

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Remote CDM Management
Remote CDM Management

Ensure sustained accuracy and compliance via remote CDM management or support. The level of engagement of our consultants depends upon your needs.

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Price Transparency

Price Transparency is now a requirement for hospitals. To avoid fines, hospitals need to produce a Machine Readable File (MRF) of all payer and plans reimbursement terms.

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Request A Complimentary CDM Checkup

TESTIMONIALS

“As a Critical Access Hospital undergoing conversion to Epic, we needed assistance in moving to the new platform. We engaged IRI for their Charge Master Services and were delighted with all aspects of their work. They are abundantly professional and quickly built confidence in their expertise with all of the teams involved in this project.  The requests that we had of them ranged from Provider Based billing, to Operating room, to Pharmacy among others.  We had a tight timeframe and they fit us in with supreme customer service and responsiveness.  We will definitely use them again for future projects, as well as some ongoing services. So grateful to have found this wonderful group of Charge Master experts.”
Thersea TaborCFO Family Health West
"The Concord Hospital Revenue Integrity department engaged IRI to perform comprehensive CDM Reviews for all our facilities and service lines.  We chose IRI, because unlike other firms, they commit to analyzing every single charge line.  They delivered on that promise.  The reports and files they returned were comprehensive, easy to understand, and thoroughly explained potential issues and opportunities.  We also use the IRI Retainer Service to assist us in understanding complicated charging and billing rules as they come up.  Jon and Julie are extremely knowledgeable and helpful. I highly recommend their services."
Erin Cutter, MBA, CPC, COC, CHRIDirector of Revenue Integrity, Concord Hospital
"We are incredibly satisfied with the exceptional Revenue Cycle services provided by Integrated Revenue Integrity (IRI). Julie Hall and her team demonstrated unmatched expertise, professionalism, and a commitment to exceeding our expectations. Their proactive approach, clear communication, and dedication to customer satisfaction made a significant positive impact on our project. IRI truly stands out in the industry, and we highly recommend them for top-notch service."
Matt FeidDirector or Revenue Cycle, Sturdy Memorial Hospital
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Integrated Revenue Integrity (IRI) provides an integrated suite of solutions to ensure that your facility is maximizing reimbursement in compliance with regulatory guidance.
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