Revenue Integrity

CMS releases quarterly update to PTP edits and MUEs

Wed, 04/10/2019

Coding and Documentation, Revenue Integrity

CMS finalized changes to NCCI Medically Unlikely Edits (MUE) and procedure-to-procedure (PTP) edits in its quarterly update to NCCI edit files, effective April 1.

Hospital pricing: Key metrics to take the pressure off price alignment

Wed, 04/10/2019

Revenue Integrity Insider

Reimbursement and Payment Methodologies, Revenue Integrity

The pressure is on hospitals to set pricing strategies that are competitive without risking revenue. Learn how revenue integrity professionals can help their organizations take a pricing approach that's truly strategic.

Q&A: Addressing payer diversions in contract language

Wed, 04/03/2019

Revenue Integrity Insider

Ask NAHRI, Payer Contracting, Revenue Integrity

Q: What language can we add to our contracts to discourage payers from diverting patients to other hospitals based solely on cost?

Note from the associate editor: Stay connected, follow NAHRI on social media

Wed, 04/03/2019

Revenue Integrity Insider

Revenue Integrity

Social media isn’t just cat videos and memes, it has become a widely used tool in professional settings to share information and even collaborate in real time.