Revenue Integrity

Download the April 2025 issue of the NAHRI Journal

Wed, 04/02/2025

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Create your recipe for revenue integrity success.

Your recipe for success

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Program Management, Revenue Integrity

Create your recipe for revenue integrity success.

Authorization denials related to procedure and device codes

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Revenue Integrity

Anna Santoro, MBA, CHRI, CCS, CCS-P, RCC, shares strategies for combatting authorization denials related to procedure and device codes.

Best practices for fighting commercial payer line-item denials

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Chargemaster and Charge Capture, Denials and Appeals, Revenue Integrity

Apply these expert tips to avoid and resolve line-item denials.

Making metrics matter: How to select the right metrics for your program

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Program Management, Revenue Integrity

Learn how to develop meaningful, effective revenue integrity metrics.

Key reporting and documentation strategies for modifier -25

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Understand how to appropriately bill for services using modifier -25.

OIG Work Plan: A proactive road map for compliance

Wed, 04/02/2025

NAHRI Journal - Volume 9, Issue 2

Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Gain insights into potential compliance gaps and audit targets.