Articles

Revenue Integrity Insider

OIG publishes semiannual report to Congress

Wednesday, June 25, 2025
Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) released the latest edition of its semiannual report to Congress, which summarizes the agency’s recent oversight activities, enforcement actions, and monetary impact.Read More »

Revenue Integrity Insider

CMS publishes 2025 Q3 update for NCCI edit files

Wednesday, June 18, 2025
Billing and Claims, Chargemaster and Charge Capture, News

CMS posted the third quarter National Correct Coding Initiative (NCCI) edit files, which will take effect on July 1. Read More »

Revenue Integrity Insider

Strategies for revenue integrity success

Wednesday, June 11, 2025
News, Revenue Integrity

Use these resources to support your success throughout the year.Read More »

Revenue Integrity Insider

How to keep up with changing rules and regulations

Wednesday, June 11, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.Read More »

Revenue Integrity Insider

Q&A: Claim edit focus areas

Friday, June 6, 2025
Billing and Claims, Coding and Documentation, Program Management, Revenue Integrity

Q: What are some of the things you’re currently focusing on for claim edits?Read More »

Revenue Integrity Insider

Your recipe for revenue integrity success

Friday, June 6, 2025
News, Program Management, Revenue Integrity

Thank you for being part of 2025 Revenue Integrity Week! We hope you used this opportunity to celebrate your team and raise awareness of the valuable work revenue integrity does.Read More »

Revenue Integrity Insider

Q&A: Structuring denials management

Thursday, June 5, 2025
Denials and Appeals, Program Management, Revenue Integrity

Q: How is revenue integrity involved in denials management?Read More »

Revenue Integrity Insider

Q&A: Solving charge reconciliation challenges

Wednesday, June 4, 2025
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: What are some major charge reconciliation challenges, and how do you address them?Read More »

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