Revenue Integrity Insider

UnitedHealthcare to cut prior authorization requirements for 1,700 services

Wednesday, September 2, 2026
News, Denials and Appeals, Coding and Documentation

UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, the insurer will no longer require approval for more than 1,700 procedure codes across various plans. Read More »

Revenue Integrity Insider

Q&A: Appealability of denials

Wednesday, August 5, 2026
Ask NAHRI, Monitoring and Audits, Denials and Appeals

Q: What should organizations consider before appealing a denial? What indicators suggest that an appeal would not be appropriate?Read More »

Revenue Integrity Insider

Identifying the root causes of denials

Wednesday, July 8, 2026
Revenue Integrity, Monitoring and Audits, Denials and Appeals

Learn how to uncover the root causes of denials.Read More »

NAHRI Journal - Volume 10, Issue 3

Evaluating the impact of skin substitute payment reform in 2026: What revenue integrity teams should consider

Wednesday, July 1, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand how recent changes to skin substitute payments affect processes.Read More »

Revenue Integrity Insider

Applying a collaborative approach to denials management

Wednesday, June 10, 2026
Policies and Procedures, Revenue Integrity, Denials and Appeals

Learn how to develop and implement a cross-functional denials management strategy.Read More »

Revenue Integrity Insider

Q&A: Monitoring denial volumes

Thursday, June 4, 2026
Policies and Procedures, Revenue Integrity, Program Management, Denials and Appeals

Q: Are you seeing an increase in denials at your organization?Read More »

Revenue Integrity Insider

Q&A: Using AI in revenue integrity

Tuesday, June 2, 2026
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Denials and Appeals, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Q: Is your organization using AI to support any revenue integrity functions? If so, what has that experience been like? If not, what are some of the barriers to implementing AI?Read More »

Revenue Integrity Insider

Q&A: Defining primary functions

Monday, June 1, 2026
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Denials and Appeals, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Q: What are your organization’s primary revenue integrity functions, and how is this defined? Do you have a formal scope of work?Read More »

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