Following is the text of NAHRI's comments to CMS on the proposed changes to the Medicare Outpatient Prospective Payment System and proposed calendar year 2025 rates. Download them below. You may use this letter as a template for submitting your own comments to CMS on any of the topics addressed...
Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical...
The 2024 Revenue Integrity Symposium (RIS) is coming up fast—the event will be held September 12-13 in Oak Brook, Illinois. Make sure that you’re getting the most out of the experience by following these tips.
Making the right choices to advance your revenue integrity career requires knowledge of the industry and trends across the nation. That’s where NAHRI’s 2024 Revenue Integrity Salary Survey comes in.
CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).
The 2024 NAHRI Leadership Council zeros in on the keys to optimizing and focusing revenue integrity programs.
Designing an effective, efficient revenue integrity program is a balancing act. Leaders must determine the program’s focus, size, and structure based on their organization’s...
