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CMS lifts claims processing hold for certain services

Wed, 10/22/2025
Revenue Integrity Insider
Billing and Claims, News

CMS directed Medicare Administrative Contractors (MAC) to lift the claims processing hold issued earlier this month for certain services impacted by the government shutdown.

Apply to speak at the 2026 Revenue Integrity Symposium

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, News, Revenue Integrity

Tips from NAHRI's 2025 Revenue Integrity Salary Survey

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, Revenue Integrity

Join the National Association of Healthcare Revenue Integrity (NAHRI) and revenue integrity leaders from across the country on Tuesday, October 21,

How to implement AI in revenue integrity functions

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, Program Management, Revenue Integrity

Organizations have to be intentional with their AI adoption.

Practical solutions for denials management

Fri, 10/17/2025
Leadership Council Insider
Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

Sourcing field-tested, reliable denials management processes is not a simple task.

OIG: Medicare’s bundled payments for OUD treatments are inaccurate

Wed, 10/15/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Monitoring and Audits, News, Reimbursement and Payment Methodologies

Medicare could have saved over $300 million if bundled payments for opioid use disorder (OUD) treatments more accurately reflected the services provided, according to a recent Office of Inspector General (OIG) audit report.

Operationalizing telehealth waiver updates: Tips from the NAHRI Advisory Board

Thu, 10/09/2025
Revenue Integrity Insider
Billing and Claims, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

On October 1, Medicare telehealth policy reverted to its pre-COVID-19 PHE state. Several members of the NAHRI Advisory Board shared how their organizations are currently managing Medicare telehealth claims.

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NAHRI Forums

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NAHRI Forum
Wed, 07/12/2017 - 13:31
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