Next Steps in Denials: Collaborative Solutions, Proactive Moves

Thu, 07/17/2025 - 15:20
Council Resources
Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...

Understanding status indicators in the OPPS: Knowledge for medical billing professionals

Thu, 07/17/2025
Leadership Council Insider
Billing and Claims, Coding and Documentation, NAHRI Leadership Council, Revenue Integrity

by Kristen Hunter, RHIA,  CHRI, CCS, CPC, CPMA, CRC, CANPC, CEDC, CEMC, CRCR

2025 Revenue Integrity Salary Survey

Tue, 06/17/2025
Leadership Council Insider
NAHRI Leadership Council, Program Management, Revenue Integrity

The 2025 Revenue Integrity Salary Survey collects information from revenue integrity professionals like you on salary ranges, professional experience and background, job titles, program design, benefits, and more.

Preparing for government payer audit activity

Tue, 06/17/2025
Leadership Council Insider
Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals

NAHRI Leadership Council Meeting (05-22-25)

Thu, 05/22/2025 - 16:57
Council Resources
Billing and Claims, Coding and Documentation, NAHRI Leadership Council, Revenue Integrity

How to respond to commercial payer line item denials

Fri, 05/16/2025
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

When organizations receive a charge denial from a commercial payer, they must weigh their options to determine whether challenging the decision wil

Tackling the Denials Challenge: Smarter Strategies, Stronger Defenses

Wed, 05/14/2025 - 14:06
Council Resources
Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Hospitals aren’t just reacting to denials anymore—they’re redesigning the playbook. As commercial and Medicare Advantage (MA) denials grow more complex, organizations are taking strategic, cross-functional approaches to manage them. Revenue integrity teams are leveraging analytics to detect...

Apply for the 2025 NAHRI Scholarship

Fri, 04/18/2025
Leadership Council Insider
NAHRI Leadership Council, Revenue Integrity

How to correctly use modifier -25

Fri, 04/18/2025
Leadership Council Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, Revenue Integrity

When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evalu

NAHRI Leadership Council Meeting (03-20-25)

Fri, 03/21/2025 - 13:25
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

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