Revenue Integrity Insider

Aetna delays implementation of new MA inpatient payment policy

Wednesday, November 19, 2025
Billing and Claims, Denials and Appeals, News, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

After receiving negative feedback from industry stakeholders on its new reimbursement approach for certain inpatient Medicare Advantage (MA) claims, Aetna recently extended the policy’s implementation date.Read More »

NAHRI Journal - Volume 9, Issue 3

The critical role of collaboration between revenue integrity and managed care contracting

Wednesday, July 9, 2025
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.Read More »

NAHRI Journal - Volume 9, Issue 3

Download the July 2025 issue of the NAHRI Journal

Wednesday, July 9, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.Read More »

Revenue Integrity Insider

How to keep up with changing rules and regulations

Wednesday, June 11, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.Read More »

Revenue Integrity Insider

Q&A: Identifying opportunities for expansion

Monday, June 2, 2025
Billing and Claims, Denials and Appeals, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Q: What areas or functions would you like to see your revenue integrity program take a bigger role in?Read More »

Revenue Integrity Insider

Medicare Advantage prior authorization requests, denials on the rise

Wednesday, August 28, 2024
Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they once were, and more of their requests are getting denied, according to a recent...Read More »

Revenue Integrity Insider

Gain insight into revenue integrity trends

Wednesday, June 5, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.Read More »

Revenue Integrity Insider

How to grow your program and career

Tuesday, June 4, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and revenue integrity leaders for our free State of the Revenue Integrity Industry webinar on June 5 from 1 to 2 p.m. Eastern.Read More »

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