Governmental audits are handled differently at every facility, but favorable results are more likely with a strong audit response that meets all ADR requirements.
“It is imperative that organizations determine who the right folks are to engage in the process,” says Diane Weiss,...Read More »
Speaking at the Revenue Integrity Symposium (RIS) is a major professional milestone in the revenue integrity field. RIS speakers gain enormous professional benefits from being recognized as experts in their field,
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 »
Speaking at the Revenue Integrity Symposium (RIS) is a major professional milestone in the revenue integrity field. Read our tips and suggestions to help you choose a topic and craft a strong application.Read More »
Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and...Read More »
Sourcing field-tested, reliable denials management processes is not a simple task. To solve this problem, the NAHRI Leadership Council spent the past year conducting research into current denial trends, including costs and volume, and successful strategies to resolve and prevent them.
