Revenue Integrity Insider

Q&A: Preventing sepsis denials

Wednesday, April 23, 2025
Ask NAHRI, Coding and Documentation, Denials and Appeals, Revenue Integrity

Q: If a provider documents sepsis with acute kidney injury but does not explicitly link the two conditions, should they be queried to prevent the claim from being denied?Read More »

Revenue Integrity Insider

Q&A: Claims management and follow-up

Wednesday, March 19, 2025
Ask NAHRI, Billing and Claims, Program Management, Revenue Integrity

Q: How can revenue integrity departments prevent revenue leakage through their claims management process?Read More »

Revenue Integrity Insider

Q&A: Selecting revenue codes for cardiac CT services

Wednesday, February 12, 2025
Ask NAHRI, Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?Read More »

Revenue Integrity Insider

Q&A: Defining outpatient CDI processes

Tuesday, November 26, 2024
Ask NAHRI, Coding and Documentation, Revenue Integrity

Q: What clinical documentation integrity (CDI) methods should be used in the outpatient setting?Read More »

Revenue Integrity Insider

Q&A: Coding CAR-T intrathecal administration

Wednesday, September 11, 2024
Ask NAHRI, Coding and Documentation, Revenue Integrity

Q: When a CAR-T product is being administered intrathecally via a shunt, should CPT code 61070 be reported separately?Read More »

Revenue Integrity Insider

Q&A: Contemplating operational improvement solutions

Wednesday, July 31, 2024
Ask NAHRI, Program Management

Q: Are the time and resources spent implementing operational improvement solutions worth it?Read More »

Revenue Integrity Insider

Q&A: Ensuring physician orders are compliant

Wednesday, May 29, 2024
Ask NAHRI, Coding and Documentation, Compliance, Revenue Integrity

Q: What are the elements of a valid order?Read More »

Revenue Integrity Insider

Q&A: Initiating CHI services

Wednesday, April 10, 2024
Ask NAHRI, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: When is it appropriate to initiate community health integration (CHI) services?Read More »

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