Q&A: Creating revenue integrity policies

Q: What are the recommended policies for a revenue integrity department?

A: A department’s functions and responsibilities will dictate what policies are necessary. For a revenue integrity department, core recommended policies include but are not limited to the following:

• Billable supply policy
• CDM maintenance policy
• Charge reconciliation/charge capture policy
• Pricing policy
• Room and board policy
• Self-administered drug policy

For more information, see the CHRI Exam Study Guide.