Tom Brokaw once wisely said, "It's easy to make a buck. It's a lot tougher to make a difference." For healthcare institutions and providers, however, the opposite is often true: all hands are on deck in the effort to help people, but afterward, getting paid is challenging. It all boils down to accountability: having each piece of a patient's information puzzle in place so you can prove the right services were provided and (finally) get the monies you deserve. Information must be gathered from multiple sources – including third parties – and fully reconciled. Chart deficiencies must be rectified. Unless paperwork is 100% complete and timely, payment may not follow.