Leadership Council Insider

First research report of 2022 looks at processes for managing and creating custom claim edits

Friday, July 15, 2022
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds shared key insights...Read More »

Leadership Council Insider

Stream the July 13 meeting now

Friday, July 15, 2022
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

A recording of the NAHRI Leadership Council’s July 13 meeting is now available.Read More »

NAHRI Journal - Volume 6, Issue 3

Proactive processes: Tips for preventing denials and protecting revenue

Wednesday, July 6, 2022
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.Read More »

NAHRI Journal - Volume 6, Issue 3

Download the July 2022 issue of the NAHRI Journal

Wednesday, July 6, 2022
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Focus on the people and processes that make revenue integrity work.Read More »

Revenue Integrity Insider

Uncover the ways that you can prepare for audit activity

Wednesday, July 6, 2022
Denials and Appeals, Monitoring and Audits, Revenue Integrity

Diane Weiss, CPC, CPB, CCP, CHRI, looks at trends in payer audit activity.Read More »

NAHRI Journal - Volume 6, Issue 3

Unnecessary observation care: As the rules change

Wednesday, July 6, 2022
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Understand how to navigate evolving guidance on observation services and medical necessity.Read More »

Revenue Integrity Insider

Develop a deeper understanding of payer-provider incentives

Wednesday, June 29, 2022
Denials and Appeals, Revenue Integrity

Jerilyn Morrissey, MD, shares why revenue integrity professionals need to think outside the box to address denials and understand payer performance.Read More »

Revenue Integrity Insider

Q&A: Tracking denials

Friday, June 10, 2022
Ask NAHRI, Denials and Appeals, Revenue Integrity

Q: What processes do you have in place for tracking and reporting denials data?Read More »

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