Revenue Integrity

One of the cornerstones of a successful revenue integrity program is putting the right people with the right skills in the right places.

Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?

Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, CPC, COC, CPC-I, COBGC, PCS, and Diane Weiss, CPC, CPB, CHRI, share tips on managing contemporary payer audits.

NAHRI is now accepting applications for two committees: the Networking and Events Committee and the Education Committee. Joining a NAHRI committee is an excellent way to grow your professional network and make a tangible difference in the revenue integrity industry and your career.

The NAHRI Leadership Council is a unique networking platform that supports revenue integrity leaders and helps them stay on the cutting edge of strategy and thought leadership. Now, you can take part: Apply now to join the NAHRI Leadership Council’s 2024 term.

Q: How can chargemaster coordinators best support clinical departments?

Q: If a patient in the emergency department (ED) leaves without being seen (LWBS) by a physician/nonphysician practitioner, should we have facility charges?

by Lisa Kanivetsky, CPC, CHRI

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the