Revenue Integrity Insider

Reviewing 2025 CDM updates on the January 2025 NAHRI Quarterly Call

Wednesday, February 5, 2025
Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

Read the latest association news and 2025 charge description master (CDM) updates discussed during the most recent NAHRI Quarterly Call. Read More »

NAHRI Journal - Volume 9, Issue 1

Preventing revenue leakage through an effective revenue integrity program

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.Read More »

NAHRI Journal - Volume 9, Issue 1

Charge lag reduction strategies for success

Wednesday, January 15, 2025
Chargemaster and Charge Capture, Revenue Integrity

Apply these field-tested methods to reduce charge lag.Read More »

NAHRI Journal - Volume 9, Issue 1

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.Read More »

NAHRI Journal - Volume 9, Issue 1

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.Read More »

NAHRI Journal - Volume 9, Issue 1

Download the January 2025 issue of the NAHRI Journal

Wednesday, January 15, 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

Prepare for a successful year with NAHRI.Read More »

Revenue Integrity Insider

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wednesday, November 6, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.Read More »

Revenue Integrity Insider

CMS makes changes to behavioral health, new codes, and cuts to rates in 2025 MPFS final rule

Wednesday, November 6, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other...Read More »

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