Revenue Integrity and Billing page
Revenue Integrity and Billing
- Medical coding
- DRG validation
- Clinical documentation integrity
- Documentation compliance
- Denials and appeals
- Underpayment recovery
- KPI dashboards
Request a Revenue Integrity Review
Visual module: KPI scorecard strip
Coding accuracy and variance
DRG accuracy and case mix integrity
Documentation completeness rate
Denial rate and overturn rate
Underpayment variance rate
Days in AR
Who we serve
Keep it short, three chips or cards.
Built for
Hospitals and health systems
Private physician groups
Private outpatient centers
Revenue integrity map
Where integrity breaks and revenue leaks
We prioritize fixes by financial impact, compliance risk, and speed to correct, then track performance month over month.
Services
Medical Coding
Coding alignment, modifier accuracy, and variance reduction across service lines.
- DRG audits
- Query support
- Trending
DRG Validation
DRG validation and case mix integrity review to reduce reimbursement risk and improve accuracy.
- DRG audits
- Query support
- Trending
Clinical Documentation Integrity
CDI workflows that improve documentation quality, reduce denials, and strengthen coding accuracy.
- Query workflows
- Provider enablement
- KPI tracking
Documentation Compliance
Documentation compliance checks and audit readiness support aligned to payer and regulatory expectations.
- Risk flags
- Audit prep
- Standard work
Denials Reduction and Appeals
Denial taxonomy, root cause fixes, and appeal playbooks that reduce repeat denials.
- Denial drivers
- Appeals workflow
- Trending
Underpayment and Payment Integrity
Underpayment detection, contract variance review, and recovery workflow with reporting.
- Variance flags
- Recovery tracking
- Scorecards
What you receive
Baseline KPI scorecard
Baseline KPI scorecard
Findings by domain (coding, DRG, CDI, compliance)
Findings by domain (coding, DRG, CDI, compliance)
Priority fixes ranked by impact and risk
Priority fixes ranked by impact and risk
Playbooks and standard work
Playbooks and standard work
Education plan and accountability cadence
Education plan and accountability cadence
Monthly dashboards and issue log
Monthly dashboards and issue log
Engagement options
Our engagement process is straightforward and aligned with how we approach radiation oncology and
radiology:
Revenue integrity review
Review plus implementation
Ongoing integrity oversight and dashboards
Oncology specialization callout
Specialty depth in oncology
TNM brings deep oncology operations experience, so oncology service lines receive specialty specific workflows, documentation guidance, and revenue integrity support aligned to real clinical delivery.