After receiving negative feedback from industry stakeholders on its new reimbursement approach for certain inpatient Medicare Advantage (MA) claims, Aetna recently extended the policy’s implementation date.
Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...
Speaking at the Revenue Integrity Symposium (RIS) is a major professional milestone in the revenue integrity field. Read our tips and suggestions to help you choose a topic and craft a strong application.
Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and much more.
In a joint effort between ACDIS and NAHRI, the Denials Management Mastermind group exists to connect leaders in both the revenue integrity and CDI spaces so that they can problem-solve, network, and discuss topics relevant to their shared goals. During the 2025 term, the group met several times...
