How to keep up with changing rules and regulations

Wed, 06/11/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.

Q&A: Identifying opportunities for expansion

Mon, 06/02/2025
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Q: What areas or functions would you like to see your revenue integrity program take a bigger role in?

2025 State of the Revenue Integrity Industry Report

June 2, 2025
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is celebrating the eighth annual Revenue Integrity Week (June 2–6) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of...

2025 State of the Revenue Integrity Industry Webinar

April 10, 2025
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and our panel of revenue integrity leaders and experts on June 4 from 1 to 2 p.m. Eastern to learn what ingredients you need for a recipe for revenue integrity success! Using the data from NAHRI's 2025 State of the Revenue Integrity Industry Survey, we'll discuss current and upcoming...

Master Denials Guide: Strategic Insights for Revenue Cycle Leaders

Thu, 08/29/2024 - 15:18
White Papers
Billing and Claims, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Revenue Integrity

Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.

 
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical...

Medicare Advantage prior authorization requests, denials on the rise

Wed, 08/28/2024
Revenue Integrity Insider
Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they once were, and more of their r

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37
Webinars
Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Gain insight into revenue integrity trends

Wed, 06/05/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.

How to grow your program and career

Tue, 06/04/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and revenue integrity leaders for our free State of the Revenue Integrity Industry webinar on June 5 from 1 to 2 p.m. Eastern.

2024 State of the Revenue Integrity Industry Survey Report

May 14, 2024
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

NAHRI is celebrating the seventh annual Revenue Integrity Week (June 3–7) to acknowledge and raise awareness of the invaluable contributions of revenue integrity professionals in the healthcare industry. In the 2024 State of the Revenue Integrity Industry Report, NAHRI analyzes data...

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