HHS published an FAQ to clarify how the COVID-19 public health emergency (PHE) conclusion, which is expected to occur on May 11, will impact coverage of testing, treatment, and preventive services.Read More »
The agenda for the 2023 Revenue Integrity Symposium has been released. The event, to be held September 18–19 at the Sheraton Charlotte in Charlotte, North Carolina, will feature two educational tracks covering essential revenue integrity education, updates, and thought leadership.Read More »
CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.Read More »
The NAHRI Leadership Council is member-driven -- that means our priority is to give you the opportunity to connect with your peers on the Council and share your own insight, expertise, and experiences. Council members have a number of options for increasing their involvement.Read More »
There are always opportunities to expand use of existing automation tools. Revenue integrity departments need to make informed choices about new areas to automate and be realistic about their ability to commit resources and show a return on investment.Read More »
Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).Read More »
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.Read More »
