Accurate revenue code selection affects concerns central to revenue integrity and the operations of healthcare provider organizations such as compliance and reimbursement. In this white paper, NAHRI Advisory Board Valerie Rinkle, MPA, CHRI, explains the importance of accurate revenue code...
In this position paper, the NAHRI Advisory Board breaks down the steps involved in writing and submitting comments on proposed rules and policy changes and discusses why this activity is essential for revenue integrity professionals.
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...
The NAHRI Code of Conduct is based on core values and ethical principles that professionals can aspire to and use when making a decision or choosing a course of action.
The NAHRI Professional Advocacy Committee is responsible for the research and development of position papers that can help further the revenue integrity profession and bring awareness to matters impacting revenue integrity practices. This position paper from the committee looks at the April 2019...
The NAHRI Professional Advocacy Committee is responsible for the research and development of position papers that can help further the revenue integrity profession and bring awareness to matters impacting revenue integrity practices. This position paper from the committee looks at inpatient...
In the transition to value-based care and pay-for-performance reimbursements, more providers are shifting care to outpatient settings. However, few HIM departments are prepared to optimize outpatient documentation and coding , which hinders the financial returns from this rapidly growing segment...
With healthcare costs on the rise, patients are experiencing greater out-of-pocket expenses and providers, in turn, are having difficulty collecting revenue from patients-- a process...
As the revenue integrity profession evolves, there will be a greater need to streamline its roles and responsibilities. While some revenue integrity professionals have been in the game for years and have established departments or programs, others find themselves in new roles without much...
Competition for market share in today’s climate of consumer-driven value-based care has placed healthcare providers under increased pressure to do more with less. A proactive, healthy and effective revenue cycle is a facility’s best line of defense against declining...
