Revenue Integrity Standards and Accreditation for Healthcare (RISAH)
The goal of Revenue Integrity Standards and Accreditation for Healthcare (RISAH) is to strengthen the revenue cycle knowledge base and practice of rural hospitals in an ever-changing reimbursement environment and to provide continuous performance improvement by identifying best practice standards and methods of measurement.
The primary goal of a Revenue Cycle Department is to safeguard revenue, while meeting or exceeding the cash goal, in a manner that increases patient satisfaction. Creating an efficient, profitable and compliant hospital revenue cycle is the primary focus of the RISAH accreditation.
RISAH is an accreditation program focusing on the performance of the hospital revenue cycle. HomeTown Health provides annual assessments to monitor and measure the performance of your hospital revenue cycle and ongoing internal benchmarking practices. Standard benchmarks are based on recognized best practice metrics and education is provided on performance, standards, monitoring and collecting data for surveys.
A key to improving a hospitals’ revenue cycle is evaluating processes and changing them, as needed, to improve overall performance. Performance improvement is a long term, ongoing process that changes and evolves as regulations increase and the healthcare environment changes. Utilizing the best practice standard measurements allows a hospital to identify areas with performance deficits. By identifying these areas through the monitoring of performance, an organization will be able to affect change in areas that will increase revenue and cash flow.
Organizations that participate in the RISAH accreditation program will develop a hospital wide communication strategy that crosses both the financial and clinical departments to improve revenue cycle performance in all areas. Allowing staff to participate in improving processes and performance is intended to improve employee morale and foster loyalty among hospital staff.
Being a leader in revenue cycle improvement will allow an organization to demonstrate their value to health insurance plans when negotiating contracts and agreements that will provide better reimbursement.
RISAH Program Objectives
Objectives for participating in this accreditation program include:
- increased revenue and cash flow
- increased efficiency with reduced operating costs
- a more compliant revenue cycle
- a competitive advantage in the healthcare arena
- increased viability and survivability in a complex healthcare environment
- increased community confidence in services
- recognition of financial best practices by insurers
Standards are established for optimal performance in the areas of:
- Financial Counseling
- Case Management
- Charge Capture
In coordination Home Town Health University (HTHU.net), RISAH emphasizes the importance of educating hospital revenue cycle staff. HTHU provides certifications for the following areas of revenue cycle performers:
- Patient Access Certification (PAC)
- Patient Access Specialist Certification (PAS)
- Billing Certification (BC)
- Financial Counselor Certification (FCC)
- Certified Healthcare Hospitality Specialist Certification (CHHS)
- Annual Re-certifications for all certification programs
Be a healthcare leader of excellence in Revenue Cycle improvements and performance and through the RISAH certification in your hospital!
1. Participation in the RISAH accreditation is voluntary and no membership is required.
2. Hospitals will be evaluated on an individual (facility) basis. If more than one hospital is in the hospital system, each will be evaluated separately.
3. The accreditation process includes a review of best practice data collection results and the performance improvements implemented based on those results.
4. Annual RISAH Accreditation requires hospitals to choose and monitor at least five RISAH standards.
5. Standards can be changed during the accreditation period when best practice goals are met and the hospital wants to monitor improvements in other areas. The monitoring should always include the minimum of five standards.
6. Hospital must demonstrate the use of staff development resources provided (such as online courses) at a minimum for the areas for which they are monitoring standards and include in performance improvement planning.
7. The RISAH Accreditation will be valid for a period of one year.
8. Accreditation will be awarded to hospitals who meet or exceed identified Best Practice Standards and submit their data no later than April 30, 2017.
9. Hospitals will be provided an official plaque with accreditation status to display in the hospital. The committee will also provide assistance with public notice to the community recognizing your achievement.
10. Hospitals will be recognized for achievement of excellence in revenue cycle performance at the annual HomeTown Health Fall conference
To submit your Intention to Accredit, please email Sandy Sage at email@example.com. The RISAH accreditation is included within HTHU subscriber agreements for many facilities. To verify your coverage through subscription, please contact Meghan Williams at firstname.lastname@example.org.
2016 RISAH Accredited Hospitals
- Crisp Regional Hospital (Cordele, Georgia)
- Doctor’s Memorial (Bonifay, Florida)
- Madison County Memorial Hospital (Madison, Florida)
- Union General Hospital (Blairsville, Georgia)
- Upson Regional Hospital (Thomaston, Georgia)
- Warm Springs Medical Center (Warm Springs, Georgia)