Preparing for government payer audit activity

Tue, 06/17/2025
Leadership Council Insider
Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals

How to keep up with changing rules and regulations

Wed, 06/11/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.

Strategies for revenue integrity success

Wed, 06/11/2025
Revenue Integrity Insider
News, Revenue Integrity

Use these resources to support your success throughout the year.

Breaking Down the 2026 IPPS Proposed Rule

Fri, 06/06/2025 - 17:55
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, analyzes major proposals of the 2026 Inpatient Prospective Payment System (IPPS) proposed rule. This webinar is an edited version of the full, 60-minute program.

Your recipe for revenue integrity success

Fri, 06/06/2025
Revenue Integrity Insider
News, Program Management, Revenue Integrity

Thank you for being part of 2025 Revenue Integrity Week! We hope you used this opportunity to celebrate your team and raise awareness of the valuable work revenue integrity does.

Q&A: Claim edit focus areas

Fri, 06/06/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Program Management, Revenue Integrity

Q: What are some of the things you’re currently focusing on for claim edits?

CPT Coding for Emergency Department and Critical Care

Fri, 06/06/2025 - 09:02
Webinars
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Hamilton Lempert, MD, CEDC, shares tips on correct CPT coding for emergency department and critical care services.

Please note that CEUs are not available for this program.

Q&A: Structuring denials management

Thu, 06/05/2025
Revenue Integrity Insider
Denials and Appeals, Program Management, Revenue Integrity

Q: How is revenue integrity involved in denials management?

Predict, Prioritize, and Prevent for Successful Denials Management

Thu, 06/05/2025 - 09:04
Webinars
Denials and Appeals, Revenue Integrity

Josh Amrhein offers strategies for improving denials management processes.

Q&A: Solving charge reconciliation challenges

Wed, 06/04/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: What are some major charge reconciliation challenges, and how do you address them?

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