CMS issued a final rule to establish several new appeals processes for Medicare beneficiaries who want to challenge a hospital’s decision to reclassify their status.Read More »
CMS added new Healthcare Common Procedure Coding System (HCPCS) codes and made status indicator (SI) and code descriptor changes for outpatient skin substitute claims.Read More »
Collaborating with other departments can help paint a better picture of the organization’s current charge reconciliation structure and practices, which can illuminate what revenue integrity’s role is. “We’ve been able to make some headway on overcoming our hurdles by working closely with our...Read More »
NAHRI needs revenue integrity professionals like you to apply to the speak at the 2025 Revenue Integrity Symposium (RIS), to be held September 25-26, 2025, in Westminster, Colorado. We want to hear about
The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.Read More »
CMS recently issued a final national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV in high-risk individuals.Read More »
NAHRI needs revenue integrity professionals like you to apply to the speak at the 2025 Revenue Integrity Symposium (RIS), to be held September 25-26, 2025, in Westminster, Colorado. We want to hear about your great ideas, successful programs, lessons learned, and areas of expertise!Read More »