A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.Read More »
It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium, and I couldn’t be more excited. I attended and presented at last year’s symposium and came back with a wealth of information...Read More »
The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment and authorization for services that should have been provided, the OIG said.Read More »
The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as well as overall payer trends is critical in this time. The National Association of Healthcare Revenue Integrity’s (NAHRI) 2018...Read More »
It is critical for providers and any person who is involved with healthcare revenue integrity to stay as current as possible or risk losing out on opportunities to ensure proper and full payment of millions of dollars’ worth of billed and/or...Read More »
EHR prompts and autofilled forms designed to help providers can lead to poor documentation and coding if not used wisely. Avoid these common errors and help reduce denials and boost coding compliance.Read More »
More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives during our second members-only quarterly call on April 24.Read More »
