Optimized financial performance starts with accurately coded claims, yet far too many providers only review a small portion of cases prior to billing. This means the majority of the issues behind revenue leakage...

In order to advance patient care and process improvement, the flagship facilities of a major health network - a 415-bed hospital and 243-bed secondary facility - utilized...

With constantly changing charge items and regulations, healthcare providers need an accurate and compliant source of truth that generates correct charges and defensible pricing. A well designed and maintained CDM...

Chargemasters is more than just CPT® and HCPCS codes. It’s a key part of processes across departments, and its data can help a hospital develop insights into its operations.

To keep the chargemaster in top shape, don’t stop at CPT/ HCPCS code updates. An effective chargemaster governance...

Healthcare organizations are looking for better ways to stem the flow of denials, which have been even more challenging to manage in the last year and a half. The pandemic triggered a significant shift to virtual care services and many other changes that impacted billing, claims, and coding...

Denials management continues to be a significant challenge for healthcare organizations in 2021, made worse by the pandemic. Recently, NAHRI conducted a survey to its Council on denials management, and 100 leaders...

To improve financial performance across the enterprise, many providers are taking a novel approach: Pre-Bill Revenue Integrity as a Service, which combines automated pre-bill analysis with revenue integrity expertise. This flexible approach offers many benefits over the traditional approach of...

In a recent National Association of Healthcare Revenue Integrity (NAHRI) survey, 143 coding, compliance, revenue integrity, HIM, and executive leaders from healthcare providers shared their insights on coding and

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So, you’ve just read about a proposed rule or policy change that is going to impact you or your organization. You’ve decided to step out of your comfort zone and let the agency issuing the proposed rule know your thoughts. First—good for you! This is advocacy in action! You have taken the most...

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