Leadership Council Insider

How to resolve common errors on skin substitute claims

Thursday, September 18, 2025
Billing and Claims, NAHRI Leadership Council, Revenue Integrity

One of the most common errors seen in skin substitute claims is the inappropriate application of drug waste modifiers, which are as follows:

  • -JW (Drug amount discarded/not administered to any patient)
  • -JZ (Zero drug amount discarded/not administered to any patient)
    • ...Read More »
Revenue Integrity Insider

CMS updates guidance on E/M services

Wednesday, September 17, 2025
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent billing and coding updates concerning critical care, telehealth, and other evaluation and management (E/M) services.Read More »

Revenue Integrity Insider

How to improve your earning potential and grow your career

Wednesday, September 10, 2025
Program Management, Revenue Integrity

Knowing whether you’re on the right track to advance your career isn’t easy—especially for revenue integrity professionals.Read More »

Revenue Integrity Insider

Q&A: How to ensure appropriate drug waste modifier use on skin substitute claims

Wednesday, September 10, 2025
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Q: How can we improve correct use of drug waste modifiers on skin substitute claims?Read More »

Revenue Integrity Insider

New data shows increase in RPM billing, concerning trends

Wednesday, September 3, 2025
Billing and Claims, Compliance, Monitoring and Audits, News

The Office of Inspector General (OIG) released a report on billing patterns for remote patient monitoring (RPM) services, highlighting the expanding use of these services and a need for additional oversight.Read More »

Revenue Integrity Insider

Flu vaccine pricing for 2025–2026 season now available

Wednesday, August 27, 2025
Billing and Claims, Coding and Documentation, Coverage, News

Review new vaccine pricing information for the 2025–2026 influenza season and examine coding and billing requirements.Read More »

Revenue Integrity Insider

CMS clarifies billing and coding requirements for preventive services

Wednesday, August 20, 2025
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professional should take note of recent updates to CMS’ Medicare Preventive Services educational tool.Read More »

Leadership Council Insider

Apply for the 2026 NAHRI Leadership Council term

Friday, August 15, 2025
NAHRI Leadership Council

The application for the 2026 term of the NAHRI Leadership Council is now open. Complete the brief application here: https://www.surveymonkey.com/r/TRQVSP3. As a reminder, current members will not be automatically...Read More »

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