Download the July 2023 issue of the NAHRI Journal

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Strengthen your revenue integrity team.

2024 IPPS proposed rule: CMS signals changes for coding and reimbursement

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed payment changes could impact hospital reimbursement and revenue integrity workflows.

Case study: Implementing annual CPT code updates

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Policies and Procedures, Program Management, Revenue Integrity

Learn how one organization successfully manages cross-functional processes for annual CPT updates.

Design for success: Reviewing chargemaster maintenance and charge capture strategies

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Apply these expert tips to improve chargemaster maintenance and boost charge capture.

Selecting the right revenue code

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choices

Shaping up: Revenue integrity program functions and staffing

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Define and clarify revenue integrity priorities and staffing needs to support program success

Chargemaster skills and competencies

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Use these tips to define and identify required skills for chargemaster roles.

Defining medical necessity

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Coding and Documentation, Compliance, Revenue Integrity

Review requirements for medical necessity and compliant physician orders.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Payer Contracting, Policies and Procedures, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023 - 10:26
Policies & Procedures
Payer Contracting, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

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