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...

Get perspective on revenue integrity trends and best practices

Wed, 05/01/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, News, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Gain deeper insights into where the revenue integrity industry is now, including best practices, staffing and program models, common challenges, and solutions by registering for NAHRI’s free State of the Revenue Integrity Industry webinar on June 5.

NAHRI's 2024 State of the Revenue Integrity Industry webinar

Tue, 04/23/2024 - 14:03
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 5, 1-2 p.m. Eastern for a dive into NAHRI 2024 State of the Revenue Integrity Industry Report. During this free live webinar, you'll learn about current and upcoming trends in revenue integrity program structure,...

NAHRI Quarterly Call - January 30, 2024

Tue, 01/30/2024 - 14:20
Quarterly Calls
Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

Holistically improve denials: How a team approach and process improvements can boost revenue

Thu, 11/16/2023 - 16:47
Webinars
Coding and Documentation, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Denied claims are a constant burden on many health organizations – often forcing teams to choose between whether to invest time and resources into either denial prevention or denial management. What if you could...

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