NAHRI Leadership Council

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, described their custom edit...

Developing reports using claim edit and denial data

Fri, 10/21/2022

Leadership Council Insider

Billing and Claims, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

It’s helpful to understand payer-specific contract terms and government billing requirements when developing work lists or work queues and reports.

NAHRI Leadership Council Meeting (10-05-22)

Wed, 10/05/2022 - 16:36

Council Resources

Chargemaster and Charge Capture, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

Best Practices for Tracking and Resolving Claim Edits

Mon, 09/26/2022 - 13:22

White Papers

Billing and Claims, Coding and Documentation, NAHRI Leadership Council

The 2022 NAHRI Leadership Council Survey Part 2 examines claim edit patterns, pre-billing processes, and top payer trends.

In addition to clinical areas, the last two years of the COVID-19 pandemic also introduced massive disruption to the revenue cycle, skewing billing processes and...

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