Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.

2020 IPPS proposed rule: Putting the pieces together

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Put CMS’ proposed changes in perspective to see the bigger picture.

Get ahead of AUC reporting requirements

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do now to ensure seamless Appropriate Use Criteria reporting.

AUC: Appropriate application

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at how the Appropriate Use Criteria Program applies to different types of facilities and in different settings.

AUC: Prior authorization

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the potential impact of future appropriate use criteria changes including prior authorization.

Trump issues executive order on healthcare price transparency

Wed, 07/03/2019
Revenue Integrity Insider
Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

Officials say the move will result in lower healthcare costs by unleashing competition. Some industry stakeholders are disputing that claim.

With Growth of Outpatient Care, Providers Need True Enterprise HIM

Wed, 05/22/2019 - 15:36
White Papers
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies

In the transition to value-based care and pay-for-performance reimbursements, more providers are shifting care to outpatient settings. However, few HIM departments are prepared to optimize outpatient documentation and coding , which hinders the financial returns from this rapidly growing segment...

Charge errors, observation, and membership updates on April’s quarterly call

Wed, 05/08/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Reimbursement and Payment Methodologies, Revenue Integrity

On April 30, NAHRI presented its second members-only quarterly call of 2019, where members heard from revenue integrity experts on charge error correction and observation, as well as received some updates on what’s new at NAHRI.

2020 IPPS proposed rule increases rural health payments, expedites new technology process

Wed, 04/24/2019
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS published the FY 2020 Inpatient Prospective Payment System (IPPS) proposed rule on April 23, introducing policies designed to significantly alter rural health payments and expedite opportunities to pay for new technology.

NAHRI needs to hear from you: Take our State of the Revenue Integrity Industry survey

Fri, 04/19/2019
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is conducting its annual State of the Revenue Integrity Industry survey, and we want to hear about your revenue integrity experience.

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