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

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

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

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

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 »

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 »

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