Once approval is given to launch a revenue integrity function or department, the program must be staffed to achieve its goals. In today’s healthcare world, roles in revenue integrity are popular. A recent scan of a popular recruiting website revealed nearly 9,500 revenue integrity position...Read More »
UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said in an August 14 letter.Read More »
Learn tips to identify denials that are most likely to result in successful appeals and discover methods for monitoring and tracking your appeals process at Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.Read More »
As outpatient care increases, providers are exploring the many benefits of dedicated pre-bill technology to proactively manage coding accuracy and revenue integrity from this growing business.Read More »
CMS extended the education and operations testing period for the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging through 2021. The education and operations testing period, which started January 1, 2020, was slated to close at the end of the year. Payment penalties were...Read More »
