Revenue Integrity Insider

2026 IPPS proposed rule: CMS proposes payment updates, mulls significant changes to numerous programs

Wednesday, April 16, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.Read More »

NAHRI Journal - Volume 9, Issue 2

OIG Work Plan: A proactive road map for compliance

Wednesday, April 2, 2025
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Gain insights into potential compliance gaps and audit targets.Read More »

NAHRI Journal - Volume 9, Issue 2

Revenue integrity Q&A: Solutions to billing and coding questions

Wednesday, April 2, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Use these expert tips to solve your revenue integrity questions.Read More »

NAHRI Journal - Volume 9, Issue 2

Key reporting and documentation strategies for modifier -25

Wednesday, April 2, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Understand how to appropriately bill for services using modifier -25.Read More »

NAHRI Journal - Volume 9, Issue 2

Download the April 2025 issue of the NAHRI Journal

Wednesday, April 2, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Create your recipe for revenue integrity success.Read More »

Revenue Integrity Insider

Q&A: Claims management and follow-up

Wednesday, March 19, 2025
Ask NAHRI, Billing and Claims, Program Management, Revenue Integrity

Q: How can revenue integrity departments prevent revenue leakage through their claims management process?Read More »

Revenue Integrity Insider

CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wednesday, March 12, 2025
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.Read More »

Revenue Integrity Insider

Q&A: Selecting revenue codes for cardiac CT services

Wednesday, February 12, 2025
Ask NAHRI, Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?Read More »

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