Revenue Integrity

Use these strategies to protect revenue and strengthen compliance with inpatient-only list requirements.

Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.

Understand how to navigate evolving guidance on observation services and medical necessity.

Brush up on revenue integrity essentials for critical access hospitals and rural health clinics.

Think outside the box to develop practical and meaningful metrics for revenue integrity departments.

Diane Weiss, CPC, CPB, CCP, CHRI, looks at trends in payer audit activity.

CMS recently released FAQs on No Surprises Act implementation topics including balance billing and notice and consent requirements.

Jerilyn Morrissey, MD, shares why revenue integrity professionals need to think outside the box to address denials and understand payer performance.

Roughly half of hospitals did not adhere to provisions of the Hospital Price Transparency rule that require them to post five types of standard charges for all services in a machine-readable file and a separate consumer-friendly file or price estimator for at least 300 shoppable services, according to a recent JAMA study.

NAHRI supports the professional accomplishments of all its members. If you know a fellow NAHRI member who has gone above and beyond in their role—be it a promotion, great idea, or helping hand—we want to help you give them a shoutout. NAHRI would like to recognize its members for their valuable contributions to the field and for the ways in which they have helped their peers.