Healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they once were, and more of their requests are getting denied, according to a recent...Read More »
Revenue integrity leaders looking to make an impact on the professional fee side of their organizations need to understand the unique opportunities and challenges of a professional fee revenue integrity program, as well as the special coding, billing, and reimbursement rules. To make the case to...Read More »
Kimberly A. Hoy, JD, CPC, discusses how her session at the 2024 Revenue Integrity Symposium will help organizations fight back against improper Medicare Advantage denials.Read More »
The 2024 State of the Revenue Integrity Industry Report takes a deep dive into standards and trends across the industry to highlight the work revenue integrity professionals do.Read More »
During 2024 Revenue Integrity Week, NAHRI is focused on raising awareness of the value that revenue integrity professionals bring to their organizations. By shining a light on best practices, data, and forward-thinking strategies, we can help revenue integrity professionals demonstrate...Read More »