The goal of revenue integrity is to produce a claim that is what?

Prepare for the RHIA Domain 4 Test with multiple choice questions, flashcards, and detailed explanations. Get exam-ready confidence!

The goal of revenue integrity is to produce a claim that is clean, complete, and compliant.

A clean claim means that it has no errors and meets all necessary criteria for processing, ensuring that the claim can be submitted without delays due to required corrections. A complete claim signifies that all required information and documentation are included, providing payers with everything they need to make payment decisions without needing to reach out for additional information. Compliance refers to adherence to legal and regulatory standards, ensuring that the claim is submitted in accordance with relevant laws, guidelines, and payer requirements. This focus on cleanliness, completeness, and compliance is critical in maintaining the integrity of revenue cycles and reducing potential billing disputes or audits.

Other options may touch on aspects of a claim but do not capture the key elements of revenue integrity as precisely as the chosen answer. Therefore, the emphasis on these three aspects—clean, complete, and compliant—aligns directly with the objectives of effective revenue cycle management.

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