Health Catalyst

Technical

The VitalIntegrity™ web-based application enables hospital systems to improve the hospital charge-capture process, capture more earned revenue, decrease A/R days and rebills, and detect and remedy compliance issues. It enables teams to recognize inefficiencies and revenue leakage from missed charges, inaccurate or late coding, gaps in your chargemaster, and compliance issues from over-charging while facilitating tracking of these issues all the way to the root cause.

This adaptable revenue integrity auditing solution enables you to process itemized bills or 837 files daily to identify a wide variety of problems that have gross and net revenue implications.

Note: Vitalware is Acquired Technology and not included in the Technology Access subscription unless otherwise noted in an order form.

The Challenge

Health systems that have acquired ambulatory care practices—and independent ambulatory practices alike—face tremendous financial pressures and challenges to financial sustainability. If you’re an ambulatory care leader, you’re looking to improve the efficiency of the services you provide and find cost savings without negatively impacting patient outcomes, the community, or the integrity of the organization. Yet it can be difficult to access data that brings actionable insights to inform decisions to improve patient access, panel management, provider productivity, referral management, or quality scores.

Our Approach

The VitalIntegrity™ application is a web-based application that enables hospital systems to improve the hospital charge-capture process, capture more earned revenue, decrease A/R days and rebills, and detect and remedy compliance issues. It enables teams to minimize revenue leakage from under (and over) charging, late or missing coding, mismatched charges and supplies, and a wide range of CDM-related issues while facilitating issue tracking—all the way to the root cause. This focus on root cause stems from our commitment to providing rule and data transparency and enabling self-sufficiency by leveraging the power of tailored workflows, flexible reporting, and analytics in a dynamic, interactive query engine.

Benefits

Save time with fast analysis results. Perform daily reviews of 100% of your inpatient- and outpatient-itemized charges or 837 files. VitalIntegrity provides a full view of soft-coded, hard-coded, diagnosis, and root-cause information.
Identify systemic issues and close financial gaps. Analyze your capture and compliance opportunities, including missed charges and over-charges.
Identify a wide variety of hospital-based charge capture issues. Our comprehensive rules engine is continuously updated by experts.
Customize rules based on your charging protocol. Our adaptable solution can be optimized to identify gaps and root causes.
Increase efficiency and productivity. Automate work assignments for your analysts or team with easy-to-use, pain-free maintenance. The account level view allows you to address all charge capture issues at once.
Optimize implementation. Partner with our consultants for retrospective analysis, initial rule refinement, and workflow routing to ensure a successful implementation.

1. The Challenge

2. Our Approach

3. Benefits

The Challenge

Our Approach

Benefits

Proven Outcomes