Revenue Integrity

Learn how to use compliance investigations and audits to protect revenue integrity.

Put these practices into place to overcome clinical validation denials for these services.

Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.

Understand how payment policy changes, C-APC changes, and more will impact your organization.

Use these tips and guidelines to determine your revenue integrity staffing needs.

Get to know Bruce Preston, CPC.

Hospital stakeholders "immeasurably pleased" with the court's "carefully reasoned decision."  HHS says the ruling could harm funding for other vital healthcare programs.

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.

NAHRI is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida.