The application for the 2026 term of the NAHRI Leadership Council is now open. Complete the brief application here: https://www.surveymonkey.com/r/TRQVSP3. As a reminder, current members will not be automatically...Read More »
Revenue integrity professionals should develop a solid understanding of billing, coding, and eligibility requirements for mental health services, says Joy Krush, RHIT, CCS, CCS-P, CDIP, healthcare senior consulting manager at Eide Bailly LLP in Bismarck, North Dakota.
Help shape the future of revenue integrity by joining a NAHRI committee. NAHRI is accepting applications to the Networking & Events Committee and the Education Committee through August 18.
by Kristen Hunter, RHIA, CHRI, CCS, CPC, CPMA, CRC, CANPC, CEDC, CEMC, CRCR
In hospital outpatient billing, status indicators (SI) are essential to understanding how Medicare reimburses services under the Outpatient Prospective Payment System (OPPS). These indicators carry...Read More »
The 2025 Revenue Integrity Salary Survey collects information from revenue integrity professionals like you on salary ranges, professional experience and background, job titles, program design, benefits, and more.Read More »
The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals can learn more about these upcoming audits in the Work Plan item descriptions. For example, the OIG may detail what organizations will be included in...Read More »
When organizations receive a charge denial from a commercial payer, they must weigh their options to determine whether challenging the decision will be worthwhile.
The first step is identifying the basis of the denial. If the organization can’t determine the payer’s reasoning by reviewing...Read More »
When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evaluated for a minor health issue who asks to be examined for an unrelated problem at the end of the appointment.
