by Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP
Managing claim denials is essential for healthcare organizations to maintain financial health and operational efficiency. Rising denial rates, particularly for medical necessity claims, are leading to...Read More »
NAHRI needs revenue integrity professionals like you to apply to the speak at the 2025 Revenue Integrity Symposium (RIS), to be held September 25-26, 2025, in Westminster, Colorado. We want to hear about
Collaborating with other departments can help paint a better picture of the organization’s current charge reconciliation structure and practices, which can illuminate what revenue integrity’s role is. “We’ve been able to make some headway on overcoming our hurdles by working closely with our...Read More »
It’s easy to get overwhelmed or not know where to begin when embarking on an expansion project. When establishing an outpatient CDI program, the first task is to understand and define the program’s mission, says Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, CDI education...Read More »
Designing an effective, efficient revenue integrity program is a balancing act. Leaders must determine the program’s focus, size, and structure based on their organization’s facility and service line mix, the volume of charges and claims its departments generate, the payers it works with, the...Read More »
The application for the 2025 term of the NAHRI Leadership Council is now open. Complete the brief application here: https://www.surveymonkey.com/r/7L6M5WN. As a reminder, current members will not be automatically registered...Read More »
by Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP
Revenue integrity is a critical aspect of healthcare management, ensuring that financial practices within healthcare organizations are compliant and efficient. Professional development in this area is...Read More »