As Avera Health in Sioux Falls, South Dakota, embarked on a new EHR implementation, the time was right to dig into KPIs that could support and measure the new processes and workflows, according to Tim Schwasinger, CRCE, director of revenue integrity at Avera Health.
CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.Read More »
Apply to the upcoming term of the NAHRI Leadership Council to get connected to a powerful network of your most forward-thinking peers who are committed to sharing knowledge, establishing best practices, and supporting each other. The...Read More »
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, the insurer will no longer require approval for more than 1,700 procedure codes across various plans. Read More »
A bipartisan group of senators introduced a bill in early August to clarify requirements, increase oversight, and reform the payment and data infrastructure of the 340B Drug Pricing Program. Read More »
One of the biggest operational hurdles that organizations have encountered since the first round of cuts to the IPO list has been helping physicians shift their mindset from traditional practices to new expectations, according to Stephanie Ellis, RN, BSN, COC, CHRI, CRCR, ...Read More »
