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...
Revenue integrity thought leaders are gathering next month, September 12-13, in Oak Brook, Illinois, for the 2024 Revenue Integrity Symposium (RIS) and there’s still time to make sure you’re counted among them.
Hospitals will need to prepare for a new mandatory bundled payment model and significant changes to coding and billing for certain new technologies, social determinants of health (SDOH), and more, according to the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) final rule.
NAHRI members received association updates and learned about provisions in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule that could impact revenue integrity professionals during the July NAHRI Quarterly Call.
Amy Inch, COTA, CPC, CPMA, shares how her session at the 2024 Revenue Integrity Symposium will help attendees shore up compliance programs and ensure stronger protections for appropriate, complete revenue.
Denial prevention continues to be a top priority in today’s healthcare revenue cycle. From optimizing claim submission to activating an appeals plan, you’ll get every action item you need to prevent and overturn denials — plus key metrics to track as you go.
