It’s helpful to understand payer-specific contract terms and government billing requirements when developing work lists or work queues and reports. Analyzing data that comes from claim scrubber edits, return to provider edits, variances, and denials can provide insight into repetitive issues...Read More »
On August 1, CMS issued its fiscal year (FY) 2023 Inpatient Prospective Payment System (IPPS) final rule, applying to discharges occurring on or after October 1, 2022.Read More »
The NAHRI Leadership Council is the one-of-a-kind networking platform that revenue integrity leaders need to stay on the cutting edge of thought leadership and strategy. And there’s a spot waiting for you: Apply now to join the Council’s 2023 term.Read More »
Members of the NAHRI Leadership Council move up the ranks from Bronze to Silver and Gold based on participation in surveys, quarterly calls, and various other opportunities.Read More »
In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds shared key insights...Read More »