Healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they once were, and more of their requests are getting denied, according to a recent...Read More »
The 2024 Revenue Integrity Symposium (RIS) is coming up fast—the event will be held September 12-13 in Oak Brook, Illinois. Make sure that you’re getting the most out of the experience by following these tips.Read More »
CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).Read More »
Making the right choices to advance your revenue integrity career requires knowledge of the industry and trends across the nation. That’s where NAHRI’s 2024 Revenue Integrity Salary Survey comes in.Read More »
Revenue integrity thought leaders are gathering next month, September 12-13, in Oak Brook, Illinois, for the 2024 Revenue Integrity Symposium (RIS) and there’s still time to make sure you’re counted among them.Read More »
NAHRI members received association updates and learned about provisions in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule that could impact revenue integrity professionals during the July NAHRI Quarterly Call.Read More »
Hospitals will need to prepare for a new mandatory bundled payment model and significant changes to coding and billing for certain new technologies, social determinants of health (SDOH), and more, according to the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) final rule.Read More »
