Use this sample cancelled accounts reconciliation policy and procedure as a template for your organization.
CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage...Read More »
The Revenue Integrity Symposium is the only conference I have seen that is packed with sessions that will give revenue integrity professionals...Read More »
Commercial and government payers track chronic conditions using Hierarchical Condition Category (HCC), and providers can track HCCs to better...Read More »
U.S. District Judge Rudolph Contreras last week reaffirmed that the U.S. Department of Health and Human Services (HHS) exceeded its authority when...Read More »
Use this sample chart to calculate your revenue integrity department's hourly labor needs.
NAHRI endorses both the formation of member workgroups and local and regional chapters to foster networking and support networks to NAHRI members...Read More »
Q: I was on a conference call with the CDM coordinators within my health system and we got involved in a lively discussion. If there's no medical...Read More »
The 2019 Revenue Integrity Symposium agenda has been released. A truly unique experience, this conference offers a wide range of exciting sessions...Read More »
Revenue integrity professionals wishing to earn support from program administrators to attend the 2019 Revenue Integrity Symposium may adapt the attached proposal.