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
New regulations, pricing transparency requirements, and thinning margins are causing healthcare organizations to become even more reliant on their CDM being truly comprehensive, transparent, and up to date. And these environmental changes are all coming through at a time when expanded code sets...
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...
