Payers and providers initiated nearly 300,000 disputes through the federal independent dispute resolution (IDR) portal in the first half of 2023, according to a recent report.Read More »
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential...Read More »
CMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health counselors (MHC).Read More »
It is crucial for revenue integrity programs to ensure modifier 25 (significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of a procedure or other service) is appended appropriately, but many...Read More »
One of the benefits of NAHRI Leadership Council membership includes access to the Council’s exclusive library of resources including an archive of education presentations and meetings, reports, sample forms and job descriptions, and more.
Recent additions to the Council’s resource library...Read More »
NAHRI members received association updates and insights on recent Medicare Advantage regulatory changes during the January 2024 NAHRI Quarterly Call.Read More »
Do you have a colleague who always comes through, supports the team with a positive attitude, or who has grown professionally? Celebrate them and their achievements through NAHRI’s Peer Recognition Program!Read More »
The revenue integrity community needs you! NAHRI is conducting the 2024 State of the Revenue Integrity Industry Survey, and we need revenue integrity professionals across the country and representing diverse backgrounds and experiences to weigh in.Read More »
