NAHRI Leadership Council Meeting (10-18-23)

Thu, 10/19/2023 - 13:03
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, NAHRI Leadership Council, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI Quarterly Call - July 25, 2023

Tue, 07/25/2023 - 15:37
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, 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...

Download the July 2023 issue of the NAHRI Journal

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Strengthen your revenue integrity team.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Payer Contracting, Policies and Procedures, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023 - 10:26
Policies & Procedures
Payer Contracting, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

Q&A: Identifying opportunities for revenue integrity

Tue, 06/06/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coverage, Payer Contracting, Program Management, Revenue Integrity

Q: What are some areas of opportunity for revenue integrity?

2023 State of the Revenue Integrity Industry Survey Report

June 2, 2023
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is celebrating the sixth annual Revenue Integrity Week (June 5–9) to acknowledge and raise awareness of the invaluable contributions of revenue integrity professionals in the healthcare industry. With the 2023 State of the Revenue Integrity Industry Survey Report, NAHRI is taking an in-...

Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

Fri, 06/02/2023 - 16:35
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Jerilyn Morrissey, MD, clears up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers.

Report finds that commercial insurers issue more denials, take longer to pay than Medicare

Wed, 05/31/2023
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, News, Payer Contracting, Reimbursement and Payment Methodologies

Although commercial payers typically pay more per claim, it is significantly easier for providers to get reimbursed by Medicare, according to a May 2023 Crowe Revenue Cycle Analytics report.

2022 State of the Revenue Integrity Industry Survey Report

June 6, 2022
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

NAHRI is hosting the fifth annual Revenue Integrity Week to celebrate the hard work, dedication, and remarkable achievements of revenue integrity professionals across the country. As part of Revenue Integrity Week, NAHRI takes an in-depth look at trends across the industry with the 2021 State of the Revenue Integrity Industry Survey Report. The survey explores the roles and responsibilities of revenue integrity professionals, their backgrounds, and the key functions of the job.

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