The Office of Inspector General (OIG) highlighted several congressional actions that, if taken, could lead to $17 billion in potential cost savings across HHS programs.Read More »
CMS recently published the April 2025 Outpatient Prospective Payment System (OPPS) update to highlight coding changes for skin substitute products that took effect on April 1.Read More »
Understanding national trends in salary, compensation, and career paths is essential to knowing your worth, planning for your career to grow, and managing a competitive revenue integrity program. That’s why NAHRI has released the 2025 Revenue Integrity Salary Survey.Read More »
Q: If a provider documents sepsis with acute kidney injury but does not explicitly link the two conditions, should they be queried to prevent the claim from being denied?Read More »
When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evaluated for a minor health issue who asks to be examined for an unrelated problem at the end of the appointment.
