Revenue Integrity Insider

Executive order directs HHS to improve price transparency

Wednesday, March 5, 2025
Compliance, News, Revenue Integrity

As hospitals continue to struggle to comply with price transparency requirements, HHS has been tasked with updating guidance and enforcement actions.Read More »

Leadership Council Insider

Gain insights into revenue integrity KPIs

Friday, February 21, 2025
Chargemaster and Charge Capture, Compliance, NAHRI Leadership Council, Program Management, Revenue Integrity

Revenue integrity KPIs and program structure, pharmacy charging, and revenue integrity’s role in price transparency compliance were among the hot topics from the NAHRI Leadership Council’s January 23 meeting....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

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

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 »

Revenue Integrity Insider

CMS updates price transparency FAQs as new requirements take effect

Wednesday, January 15, 2025
Compliance, News

Review updated guidance on price transparency and newly required machine-readable file data elements.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 »

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