OIG Work Plan: A proactive road map for compliance

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Gain insights into potential compliance gaps and audit targets.

Revenue integrity Q&A: Solutions to billing and coding questions

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Use these expert tips to solve your revenue integrity questions.

NAHRI Leadership Council Meeting (03-20-25)

Fri, 03/21/2025 - 13:25
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Q&A: Claims management and follow-up

Wed, 03/19/2025
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Program Management, Revenue Integrity

Q: How can revenue integrity departments prevent revenue leakage through their claims management process?

Billing, coding, and documentation policy

Mon, 03/17/2025 - 09:16
Council Resources
Billing and Claims, Coding and Documentation, Compliance, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

This sample billing, coding, and documentation policy was developed by revenue integrity and compliance staff at Spire Orthopedic Partners in Stamford, Connecticut, and contributed by 2025 NAHRI Leadership Council member Sandra Giangreco Brown, MHA, RHIT, CCS-P, CHC, CPC, COC, CHRI, COBGC, PCS,...

CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wed, 03/12/2025
Revenue Integrity Insider
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.

Revenue Integrity: Optimizing Patient Care and Financial Outcomes with Cardiac CT

Thu, 03/06/2025 - 08:54
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Revenue Integrity

Join NAHRI, the Society of Cardiovascular Computed Tomography (SCCT), and the Healthcare Financial Management Association (HFMA) as they lead an in-depth conversation on how cardiac CT can improve patient outcomes while driving efficient healthcare resource utilization. This free webinar will...

Q&A: Selecting revenue codes for cardiac CT services

Wed, 02/12/2025
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?

NAHRI Quarterly Call - January 28, 2025

Tue, 01/28/2025 - 15:19
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

Preventing denials for CPAP devices and accessories

Wed, 01/22/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, Denials and Appeals

Review coverage criteria and documentation tips for continuous positive airway pressure (CPAP) devices and accessories.

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