Your recipe for revenue integrity success

Fri, 06/06/2025
Revenue Integrity Insider
News, Program Management, Revenue Integrity

Thank you for being part of 2025 Revenue Integrity Week! We hope you used this opportunity to celebrate your team and raise awareness of the valuable work revenue integrity does.

Q&A: Claim edit focus areas

Fri, 06/06/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Program Management, Revenue Integrity

Q: What are some of the things you’re currently focusing on for claim edits?

Q&A: Structuring denials management

Thu, 06/05/2025
Revenue Integrity Insider
Denials and Appeals, Program Management, Revenue Integrity

Q: How is revenue integrity involved in denials management?

Q&A: Solving charge reconciliation challenges

Wed, 06/04/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: What are some major charge reconciliation challenges, and how do you address them?

Q&A: Managing chargemaster updates and maintenance

Tue, 06/03/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: At your organization, how are chargemaster updates and maintenance handled?

Recipe for Success: 2025 State of the Revenue Integrity Industry

Mon, 06/02/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Revenue integrity professionals need to understand how new elements in the healthcare industry, from changing regulations to advances in technology

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...

Create your recipe for success during 2025 Revenue Integrity Week

Wed, 05/28/2025
Revenue Integrity Insider
News, Program Management, Revenue Integrity

Revenue Integrity Week (June 2-6) is fast approaching, and NAHRI is here to help you cook up the best celebration ever!

Tackling the Denials Challenge: Smarter Strategies, Stronger Defenses

Wed, 05/14/2025 - 14:06
Council Resources
Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Hospitals aren’t just reacting to denials anymore—they’re redesigning the playbook. As commercial and Medicare Advantage (MA) denials grow more complex, organizations are taking strategic, cross-functional approaches to manage them. Revenue integrity teams are leveraging analytics to detect...

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