NAHRI is pleased to announce the launch of the NAHRI Scholarship program. This scholarship awards registration to the Revenue Integrity Symposium to one recipient.Read More »
Strong interdepartmental relationships with clinical, other middle revenue cycle, and IT departments top the list of positive effects on revenue integrity programs, according to preliminary results of NAHRI’s 2024 State of the Revenue Integrity Industry Survey. The survey, which is open until...Read More »
NAHRI is excited to announce the release of the 2024 Revenue Integrity Symposium (RIS) agenda. RIS, to be held September 12–13 in Oak Brook, Illinois, has expanded to three tracks this year.Read More »
Payers and providers initiated nearly 300,000 disputes through the federal independent dispute resolution (IDR) portal in the first half of 2023, according to a recent report.Read More »
CMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health counselors (MHC).Read More »
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential...Read More »
It is crucial for revenue integrity programs to ensure modifier 25 (significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of a procedure or other service) is appended appropriately, but many...Read More »
