Why clear, modern room rate policies matter

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Compliance, Policies and Procedures, Revenue Integrity

Denise Williams, COC, CHRI, explains why clear, modern room rates are important.

NAHRI Council Report - Revenue Cycle Automation: Defining Key Goals, Strategies, and ROI

Fri, 09/29/2023 - 13:07
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Highlights from the 2023 NAHRI Leadership Council Survey Part 2: Unraveling the essentials, benefits, and future of automation.

Hospitals and health systems have faced unprecedented challenges for several years, pushing them to rethink their revenue cycles. Factors like the pandemic and...

2023 NAHRI Leadership Council Research Series: The Rise of Revenue Cycle Automation

Fri, 09/29/2023 - 13:05
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...

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...

Price transparency compliance tied to potential of increased penalties

Wed, 07/12/2023
Revenue Integrity Insider
Compliance, News, Policies and Procedures, Revenue Integrity

Hospitals have made significant efforts to comply with price transparency regulations due to increased civil monetary penalties from CMS, according to a recent JAMA Network Open study.

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.

Case study: Implementing annual CPT code updates

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Policies and Procedures, Program Management, Revenue Integrity

Learn how one organization successfully manages cross-functional processes for annual CPT updates.

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.

CMS releases list of Part B drugs with reduced coinsurance

Wed, 06/21/2023
Revenue Integrity Insider
Coverage, News, Policies and Procedures, Revenue Integrity

CMS recently released a list of the 43 Part B drugs and biologicals that will be included in the Medicare Prescription Drug Inflation Rebate Program for July 1–September 30.

Q&A: Implementing processes for denials management

Fri, 06/09/2023
Revenue Integrity Insider
Denials and Appeals, Policies and Procedures, Revenue Integrity

Q: What processes or systems do you have in place for managing denials?

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