UCG SOLUTIONS
Capture the revenue you earned—and protect it with disciplined controls.
Revenue integrity connects clinical documentation, charge capture, coding, billing and reimbursement. UCG reviews where revenue can leak before a claim is submitted and where payment variance can hide after adjudication.
Scope of support
- Charge capture assessment
- Charge reconciliation
- Coding-to-charge review
- Documentation-to-charge alignment
- Pre-bill and post-bill review
- Revenue leakage analysis
- High-value service-line review
- Payment accuracy review
- Denial and underpayment linkage
- Revenue-integrity dashboards and governance
Common risks and triggers
- Missing or late charges
- Documentation gaps
- Coding and charge mismatch
- Unbilled services
- Incorrect units
- Payer edits
- Underpayments
- Inconsistent controls by department
HOW THE WORK MOVES
Follow this capability through its operating steps.
Select each stage to inspect the task, the issue to watch, an example action and the accountable reviewer.
WORKFLOW EXPLORER
Service-to-payment control chain
Connect documentation, charges, coding and expected reimbursement to identify points where earned revenue may be missed.
SELECTED STAGE
Service evidence
Source documentation is aligned to the delivered service and operational context.
Illustrative operating sequence. Final responsibilities, payer rules and automation scope are confirmed for each engagement.
Organizations served
- Hospitals & Health Systems
- Physician Groups
- Ambulatory Surgery Centers
- Specialty Practices
INTELLIA relevance
UCG INTELLIA™ supports operational visibility, prioritization and workflow automation across revenue-cycle work, with review roles defined for each process.
- Denial Intelligence: Detect patterns, surface likely root causes, prioritize work and connect recovery findings back to prevention.
- A/R Intelligence: Segment accounts by age, value, payer, denial status and recovery potential.
- Coding Intelligence: Support documentation and coding review, QA prioritization and coding-risk visibility with human review.
- Eligibility Intelligence: Surface coverage and eligibility issues early in the revenue cycle.
- Revenue Analytics: Connect operational and financial KPIs into role-relevant views.
Related services
Discuss your workflow with UCG.
Share the revenue-cycle issue, operational priority or payer challenge you are working through.
Request a Revenue Integrity Review