Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.Read More »
Without the guidance and expertise of compliance, revenue can’t be considered truly accurate and audit-proof. By using a compliance work plan to weave compliance best practices and audit findings into revenue integrity, organizations can flip revenue integrity processes from reactive to...Read More »
NAHRI's most popular stories from the first half of the year cover KPIs, charge capture, and strategies for improving physician documentation.Read More »
Interdisciplinary team meetings are the perfect venue for revenue integrity to present changes that impact all providers or to discuss overall trends, but don’t allow for one-on-one discussions. To help craft personalized education tracks for providers, revenue integrity can use existing data...Read More »
Q: When a physician schedules a procedure, do you evaluate the patient’s record prior to the procedure to determine whether all of the coverage requirements of the applicable National Coverage Determinations and/or Local Coverage Determinations are met?Read More »
Using revenue reports to create tailored metrics and then monitoring with revenue reconciliation will keep an organization on track to hit revenue goals and ensure that it’s able to plan for the correct amount of revenue.Read More »
