Revenue Integrity Insider

AMA announces major E/M changes for facility-based services

Wednesday, July 13, 2022
Coding and Documentation, Compliance, News, Revenue Integrity

The American Medical Association’s (AMA) CPT Editorial Panel recently published changes to its evaluatio and management (E/M) Services Guidelines. The update includes code revisions, additions, and deletions, which are scheduled to take effect January 1, 2023.Read More »

NAHRI Journal - Volume 6, Issue 3

Celebrating the art of revenue integrity

Wednesday, July 6, 2022
Program Management, Revenue Integrity

NAHRI celebrated the creativity and achievements of revenue integrity professionals during 2022 Revenue Integrity Week.Read More »

NAHRI Journal - Volume 6, Issue 3

2023 IPPS proposed rule: Changes on the horizon

Wednesday, July 6, 2022
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.Read More »

NAHRI Journal - Volume 6, Issue 3

Download the July 2022 issue of the NAHRI Journal

Wednesday, July 6, 2022
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Focus on the people and processes that make revenue integrity work.Read More »

NAHRI Journal - Volume 6, Issue 3

Proactive processes: Tips for preventing denials and protecting revenue

Wednesday, July 6, 2022
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.Read More »

NAHRI Journal - Volume 6, Issue 3

Getting to the bottom of inpatient-only list compliance

Wednesday, July 6, 2022
Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Use these strategies to protect revenue and strengthen compliance with inpatient-only list requirements.Read More »

NAHRI Journal - Volume 6, Issue 3

Transitioning revenue integrity from an operational reactive to a proactive approach

Wednesday, July 6, 2022
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Anna Santoro, MBA, CCS, CCS-P, RCC, CHRI, shared three steps to a proactive revenue integrity department.Read More »

NAHRI Journal - Volume 6, Issue 3

Exploring productivity metrics for revenue integrity

Wednesday, July 6, 2022
Program Management, Revenue Integrity

Think outside the box to develop practical and meaningful metrics for revenue integrity departments.Read More »

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