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...

This sample billing, coding, and documentation policy was developed by revenue integrity and compliance staff at Spire Orthopedic Partners in Stamford, Connecticut, and contributed by 2025 NAHRI Leadership Council member Sandra Giangreco Brown, MHA, RHIT, CCS-P, CHC, CPC, COC, CHRI, COBGC, PCS,...

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