Revenue Integrity Insider

Revenue integrity professionals strengthen their knowledge and network at 2025 RIS

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals came together for two days of empowering learning and networking at the 2025 Revenue Integrity Symposium (RIS).Read More »

NAHRI Journal - Volume 9, Issue 4

IPO on the cutting block again

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the implications of the potential elimination of the inpatient-only (IPO) list.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 OPPS proposed rule: CMS sets the stage for reimbursement transformation

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Gain expert insights into the potential impact of major changes to reimbursement and regulations.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS proposed rule: Reshaping professional reimbursement

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.Read More »

NAHRI Journal - Volume 9, Issue 4

Governmental audits: Ensuring a thorough, timely reply

Wednesday, October 1, 2025
Compliance, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Use these tips to improve audit processes and outcomes.Read More »

Revenue Integrity Insider

Q&A: How to ensure appropriate drug waste modifier use on skin substitute claims

Wednesday, September 10, 2025
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Q: How can we improve correct use of drug waste modifiers on skin substitute claims?Read More »

Revenue Integrity Insider

New data shows increase in RPM billing, concerning trends

Wednesday, September 3, 2025
Billing and Claims, Compliance, Monitoring and Audits, News

The Office of Inspector General (OIG) released a report on billing patterns for remote patient monitoring (RPM) services, highlighting the expanding use of these services and a need for additional oversight.Read More »

Leadership Council Insider

Behavioral health billing training for revenue integrity staff

Friday, August 15, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, Revenue Integrity

Revenue integrity professionals should develop a solid understanding of billing, coding, and eligibility requirements for mental health services, says Joy Krush, RHIT, CCS, CCS-P, CDIP, healthcare senior consulting manager at Eide Bailly LLP in Bismarck, North Dakota.

“...Read More »

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