Vitalware Revenue Integrity Suite

1. The Challenge

Details

2. Our Approach

Details

3. Benefits

Details
Technical

The Vitalware® Revenue Integrity suite is a web-based solution that focuses on mid-revenue cycle—regulatory compliance, coding, chargemaster management, charge capture, and price transparency—to support the overall goal of improving reimbursement and compliance.

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 Vitalware® Revenue Integrity suite is a web-based solution that focuses on mid-revenue cycle—regulatory compliance, coding, chargemaster management, charge capture, and price transparency—to support the overall goal of improving reimbursement and compliance.

The suite delivers modern SaaS solutions that consume and coordinate all your chargemaster data in a single, smartly integrated framework, offering a full suite of tools to enable hospitals to operate more transparently, price strategically, and confidently run a compliant and efficient revenue operation.

Benefits

  • Gain complete visibility into your chargemaster. VitalCDM® provides unified chargemaster management for CDM, physician, supplies, and other ancillary files in a single solution. Because we pull in 100% of your CDM data, you get complete visibility—and confidence—into your chargemaster.
  • Access comprehensive, current medical coding information. VitalKnowledge® provides your compliance, revenue, and coding teams with access to comprehensive and current medical coding information. With an intuitive, easy-to-search interface and a team of Vitalware experts ensuring that your content is up-to-date and accurate, your team can work with focus and efficiency, and leave behind the world of multiple books, screens, checks, and rechecks.
  • Dictate what is meaningful to you to better manage your charge integrity business. With VitalIntegrity, you pick the data you load and modify rules yourself—in a modern interface. This enables you to improve the hospital charge integrity process and detect and remedy compliance issues—enabling your team to recognize inefficiencies and revenue leakage from under charging, compliance issues from over charging, and inaccurate charges all the way to the root cause.
  • Get simple and complete price transparency all in one place. Hospital Price Index (HPI) helps hospitals comply with price transparency regulations. Beyond displaying your chargemaster, hospitals are now required to publicly display a list of “all services” and “shoppable services.” HPI provides these three distinct, but necessary, views and helps hospitals face the new price transparency regulations with confidence.

Proven Outcomes

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