Comprehensive Outpatient Revenue Integrity Services
Comprehensive documentation, accurate coding and optimal reimbursement for complete outpatient department revenue capture.

CORIS Features

E

CDI

E

Coding/HCC Coding

E

Charge Capture

E

Audits

E

DNFB Management

E

Denial Management

E

Ongoing Assessments

CORIS Benefits

E
Increase the clean claim rate by count and dollar
E
Ensure complete outpatient department revenue capture
E
Decrease risk of reimbursement take backs
E
Trend medical necessity issues, charge master issues and charging issues
E
Identify root causes and implement resolutions

 According to MedPAC’s 2018 Report to the Congress, outpatient payments rose by almost $3 billion, partly due to an increase in physician services billed as hospital outpatient services.

With the surge in outpatient payments, hospital revenue integrity teams face a deluge of denials, edits and coding and documentation issues, each with unique requirements.

To help identify, track, manage and improve coding errors and documentation gaps, Pena4 offers CORIS—comprehensive outpatient revenue integrity services. The mission of CORIS is to help clients ensure comprehensive documentation, accurate coding and optimal reimbursement for complete outpatient revenue capture.

28% to 47%
Gross Outpatient Revenue Increase

Managing Outpatient Denials

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