CMS directed Medicare Administrative Contractors (MAC) to lift the claims processing hold issued earlier this month for certain services impacted by the government shutdown.Read More »
Sourcing field-tested, reliable denials management processes is not a simple task. To solve this problem, the NAHRI Leadership Council spent the past year conducting research into current denial trends, including costs and volume, and successful strategies to resolve and prevent them.
Organizations have to be intentional with their AI adoption. This technology can be costly, so they must weigh out their options and locate areas of opportunity in their departments that will produce successful implementation results.
“Every organization needs to do an assessment to...Read More »
Join the National Association of Healthcare Revenue Integrity (NAHRI) and revenue integrity leaders from across the country on Tuesday, October 21, 1-2 p.m. Eastern, for a free webinar that dives into trends in revenue integrity compensation, program management, and design. We'll also share tips...Read More »
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.Read More »
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.Read More »
CMS provided organizations and contractors with initial instructions for submitting and processing telehealth claims as the government shutdown continues.Read More »
