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 »
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.
The application for the 2026 term of the NAHRI Leadership Council is now open. Complete the brief application here: https://www.surveymonkey.com/r/TRQVSP3. As a reminder, current members will not be automatically...Read More »
Help shape the future of revenue integrity by joining a NAHRI committee. NAHRI is accepting applications to the Networking & Events Committee and the Education Committee through August 18.
Revenue integrity professionals should develop a solid understanding of billing, coding, and eligibility requirements for mental health services, says Joy Krush, RHIT, CCS, CCS-P, CDIP, healthcare senior consulting manager at Eide Bailly LLP in Bismarck, North Dakota.
by Kristen Hunter, RHIA, CHRI, CCS, CPC, CPMA, CRC, CANPC, CEDC, CEMC, CRCR
In hospital outpatient billing, status indicators (SI) are essential to understanding how Medicare reimburses services under the Outpatient Prospective Payment System (OPPS). These indicators carry...Read More »
The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals can learn more about these upcoming audits in the Work Plan item descriptions. For example, the OIG may detail what organizations will be included in...Read More »
