Revenue Integrity Insider

High-cost novel cell and gene therapies: The time for action is now!

Friday, June 11, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement models.Read More »

Revenue Integrity Insider

Line item removal of cardiac implants: Revenue integrity’s next challenge

Wednesday, June 9, 2021
Billing and Claims, Chargemaster and Charge Capture, Compliance, Coverage, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue integrity.Read More »

Revenue Integrity Insider

Revenue integrity: Complexities, collaboration, and commitment

Tuesday, June 8, 2021
Chargemaster and Charge Capture, Compliance, Program Management, Revenue Integrity

Amy Tepp, CPA, reflects on how key traits of revenue integrity departments—dedication and teamwork—have helped the profession adapt in an evolving industry.Read More »

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

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 »

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