While physician advisors (PA) and revenue integrity staff have separate roles and responsibilities, they share many of the same goals, says Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV, system medical director of utilization management at ChristianaCare in Newark, Delaware....Read More »
The NAHRI Leadership Council is conducting a research survey on charge reconciliation policies and workflows. Your feedback is greatly appreciated. You can complete the brief survey at https://www.surveymonkey.com/r/MNYTKR9.
Hospital pricing strategies will continue to evolve in response to reimbursement updates, increasing costs, and affordability concerns. In addition, the introduction of price transparency requirements has forced healthcare organizations to place a greater emphasis on defensibility.
While communication is key to reducing denials, it’s very difficult to do well, according to Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS, manager of inpatient data integrity at University of Utah Health. She explains that her team has been aiming to encourage communication among...Read More »
Speaking at the Revenue Integrity Symposium (RIS) is a major professional milestone in the revenue integrity field. RIS speakers gain enormous professional benefits from being recognized as experts in their field,
Governmental audits are handled differently at every facility, but favorable results are more likely with a strong audit response that meets all ADR requirements.
“It is imperative that organizations determine who the right folks are to engage in the process,” says Diane Weiss,...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.
