Revenue Integrity Insider

CMS removes two codes from prior authorization list

Wednesday, May 19, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.Read More »

Revenue Integrity Insider

Association updates, the revenue integrity value of physician advisors, and wound care coding tips on April’s Quarterly Call

Wednesday, May 12, 2021
Coding and Documentation, Compliance, Denials and Appeals, Program Management, Revenue Integrity

NAHRI’s April 27 Quarterly Call explored the impact of physician advisors on revenue integrity, wound care coding tips, and the latest association updates.Read More »

Revenue Integrity Insider

Using CMS and NAHRI resources to address charge denials

Wednesday, April 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »

NAHRI Journal - Volume 5, Issue 2

Download the April 2021 issue of the NAHRI Journal

Tuesday, April 6, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Explore the revenue integrity universe.Read More »

NAHRI Journal - Volume 5, Issue 2

The influence of revenue integrity

Tuesday, April 6, 2021
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, looks at recent regulatory changes that fall under revenue integrity’s influence.Read More »

NAHRI Journal - Volume 5, Issue 2

Charting the operational impact of eliminating the IPO

Tuesday, April 6, 2021
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the far-reaching financial and operational impacts of sunsetting the inpatient-only (IPO) list.Read More »

NAHRI Journal - Volume 5, Issue 2

Implementing the new era of price transparency

Tuesday, April 6, 2021
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Learn how revenue integrity leaders helped their organizations meet the new requirements and what next steps they’re planning.Read More »

Revenue Integrity Insider

Six tips for improving hospital price transparency compliance

Wednesday, March 24, 2021
Chargemaster and Charge Capture, Compliance, Revenue Integrity

NAHRI Advisory Board member Caroline Znaniec, MBA, MS-HCA, shares how hospitals can identify and improve compliance with price transparency rules.Read More »

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