NAHRI Leadership Council Meeting (03-19-26)

Fri, 03/20/2026 - 10:27
Council Resources
Policies and Procedures, Revenue Integrity, Program Management, Payer Contracting, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

The Council's agenda for the March 19, 2026 meeting was:

•Presentation: How to optimize systems to involve clinicians in denials and use data to drive improvement ―Gopi Astik, MD, MS, medical director, Northwestern Memorial Hospital...

Finding opportunities for PAs in revenue integrity programs

Fri, 02/20/2026
Leadership Council Insider
Policies and Procedures, Revenue Integrity, Program Management, Payer Contracting, NAHRI Leadership Council

While physician advisors (PA) and revenue integrity staff have separate roles and responsibilities, they share many of the same goals, says

Q&A: Code removal requests from payers

Wed, 12/31/2025
Revenue Integrity Insider
Ask NAHRI, Payer Contracting, Denials and Appeals, Coding and Documentation

Q: How do you handle clinical validation denials when payers say you won’t receive payment unless you remove a code from the claim? 

Aetna delays implementation of new MA inpatient payment policy

Wed, 11/19/2025
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, News, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

After receiving negative feedback from industry stakeholders on its new reimbursement approach for certain inpatient Medicare Advantage (MA) claims, Aetna recently extended the policy’s implementation date.

Denials Management and Prevention: Progressive Approaches and Practical Solutions from the NAHRI Leadership Council

Mon, 08/25/2025 - 10:50
Free Webinars
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, Revenue Integrity

Heightened and increasing complex payer denial activity are putting growing pressure on hospitals. With major shifts in reimbursement, and the growing costs of simply keeping the doors open and caring for patients, denials are just one more obstacle hospitals face. But fortunately, it’s one that...

Download the July 2025 issue of the NAHRI Journal

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
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

Get connected to your revenue integrity network.

The critical role of collaboration between revenue integrity and managed care contracting

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.

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...

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