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 »

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

Authorization denials related to procedure and device codes

Wednesday, April 2, 2025
Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Revenue Integrity

Anna Santoro, MBA, CHRI, CCS, CCS-P, RCC, shares strategies for combatting authorization denials related to procedure and device codes.Read More »

Revenue Integrity Insider

Documentation tips for bacterial culture lab tests

Wednesday, April 2, 2025
Coding and Documentation, Denials and Appeals, Revenue Integrity

Review CMS guidance on ordering and documenting bacterial culture lab tests to prevent denials.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

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 »

Revenue Integrity Insider

Proper usage of POS codes 31 and 32

Wednesday, March 26, 2025
Coding and Documentation, News, Revenue Integrity

After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.Read More »

Revenue Integrity Insider

CMS publishes January 2025 OPPS update

Wednesday, February 19, 2025
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.Read More »

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