NAHRI Journal - Volume 9, Issue 4

Cross-functional efforts to improve resources and ensure clean claims

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Denials and Appeals, Policies and Procedures, Program Management, Revenue Integrity

Apply these lessons to reduce denials and support efficient processes.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS: Ambulatory Specialty Model

Wednesday, October 1, 2025
Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the proposed new ambulatory specialty model in the 2026 Medicare Physician Fee Schedule proposed rule.Read More »

NAHRI Journal - Volume 9, Issue 4

Understanding eligibility requirements

Wednesday, October 1, 2025
Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, provides insight into insurance eligibility determinations.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 IPPS final rule: Reimbursement updates and measure shake-ups

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about new requirements and reimbursement changes.Read More »

NAHRI Journal - Volume 9, Issue 4

Governmental audits: Ensuring a thorough, timely reply

Wednesday, October 1, 2025
Compliance, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Use these tips to improve audit processes and outcomes.Read More »

NAHRI Journal - Volume 9, Issue 4

Embracing change: AI applications in revenue integrity

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Learn how revenue integrity leaders are applying and preparing for advanced technology.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS proposed rule: Reshaping professional reimbursement

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.Read More »

Revenue Integrity Insider

AMA releases 2026 CPT code set

Wednesday, September 24, 2025
Coding and Documentation, News

The American Medical Association (AMA) recently issued its 2026 Current Procedural Terminology (CPT®) code set, which includes new codes for remote patient monitoring, services involving augmented intelligence, and more.Read More »

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