The Wilshire Group Blog

“Revenue Integrity” within a healthcare system means many different things depending on who you ask, the size of the institution, and if the OIG (Office of Inspector General) has paid a visit or not.

67, 66, 65, 64 days and counting…. We are officially on the FINAL countdown to ICD-10 implementation. Health systems, providers, payors, etc., are working diligently to review that “Master Task List” we all created, what seems to be, a decade ago by now. [...]

Most organizations produce 1,000s of claims a day with hopes they’re compliant and will ensure proper reimbursement. Within those UBs/837Is are claim lines, which are primarily comprised of charging and coding data. The process responsible for creating [...]

July 1, 2015 - Madison, WI. The first day of July saw a world's first at the Dane Country Regional Airport in Madison, Wisconsin. The first mass media advertisement for the The Wilshire Group debuted. We are extremely excited about our ad, located in all [...]