This sample appeal letter appealing exhaustion of infertility benefits was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S., CPC, CHRI,
CRCR, Revenue Integrity Supervisor at Confluence Health in Washington.
This sample appeal letter appealing a denial of a cardiac catheterization procedure was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S., CPC, CHRI,
CRCR, Revenue Integrity Supervisor at Confluence Health in Washington.
This sample appeal letter appealing a denial of an injection of a medication was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S., CPC, CHRI,
CRCR, Revenue Integrity Supervisor at Confluence Health in Washington.
After publishing the 2025 Medicare Physician Fee Schedule (MPFS) final rule, CMS provided more information on upcoming changes to the Medicare Shared Savings Program (MSSP).
Revenue integrity professionals are more likely to land high salaries compared to previous years, according to the results of NAHRI’s 2024 Revenue Integrity Salary Survey. However, compensation for revenue integrity professionals in fully on-site positions or employed by smaller, rural...
CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.
Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other services.
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