2024 MPFS proposed rule: Striking a balance between gains and losses

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.

Alzheimer’s medication approval brings revenue integrity challenges

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.

Defining NCCI edits and their role in correct coding

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Consider how to use NCCI edits to improve coding and reduce denials.

A step-by-step guide to writing persuasive appeals

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Denials and Appeals, Revenue Integrity

Follow these steps to craft effective appeal letters.

NAHRI Council Report - Navigating the Revenue Cycle: The Automation Shift

Fri, 09/29/2023 - 13:07
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Highlights from the 2023 NAHRI Leadership Council Survey Part 2: Unraveling the essentials, benefits, and future of automation.

Hospitals and health systems have faced unprecedented challenges for several years, pushing them to rethink their revenue cycles. Factors like the pandemic and...

2023 NAHRI Leadership Council Research Series: The Rise of Revenue Cycle Automation

Fri, 09/29/2023 - 13:05
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...

2023 RIS brings together professionals for engaging educational sessions, valuable networking

Wed, 09/20/2023
Revenue Integrity Insider
News, Revenue Integrity

Revenue integrity professionals traveled from across the nation to Charlotte, North Carolina, to attend the 2023 Revenue Integrity Symposium (RIS), held September 18-19.

How to determine revenue integrity program priorities

Fri, 09/15/2023
Leadership Council Insider
NAHRI Leadership Council, Program Management, Revenue Integrity

Most revenue integrity professionals can reel off a list of issues that may jeopardize compliant revenue across the continuum of patient care.

Defining skills and core competencies for chargemaster staff

Fri, 09/15/2023
Leadership Council Insider
Chargemaster and Charge Capture, NAHRI Leadership Council, Program Management, 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&A: Billing E/M services for LWBS patients

Wed, 09/13/2023
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

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?

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