CMS’ rules for inpatient admission can leave providers questioning when it’s appropriate to admit a patient presenting with an uncomplicated myocardial infarction.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 »
Business etiquette is a unique market differentiator that promotes excellence within organizations. Silos are still very much a part of the healthcare landscape and the ability to successfully navigate and initiate change across these silos ultimately translates into quality outcomes and revenue...Read More »
Clinical research studies can offer enormous benefits for patients and provider organizations. But managing charges and submitting claims for clinical research can throw a curveball at revenue integrity teams. Without efficient charge and edit management processes, revenue integrity could find...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 »
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 »
