NAHRI Quarterly Call - April 24, 2018

Tue, 04/24/2018 - 14:50
Quarterly Calls
Billing and Claims, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

A recording of our April 24 NAHRI Quarterly Call. 

Q&A: Charging for cancelled surgeries

Wed, 03/21/2018
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Compliance

Q: Can you charge a cancelled surgery if the patient is not taken to the procedure room?

Multiple Procedure Modifier Grid

Wed, 11/29/2017 - 11:04
Policies & Procedures
Billing and Claims, Coding and Documentation, Policies and Procedures, Revenue Integrity

Use this sample resource from RestorixHealth as a guide to understanding when to bundle procedures.

Predictive analytics for audits can help identify missing revenue

Wed, 09/20/2017
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

There are two parts of maintaining correct audits: ensuring that the charges present on the claim accurately represent the care provided and documented and ensuring the claim is compliant with all applicable billing rules and regulations. One way to ease the process is to review the charges on the claim with an application or tool that can predict errors using the analytics from outpatient Medicare claim data. 

Senior billing specialist job description

Thu, 09/14/2017 - 15:19
Job Descriptions
Billing and Claims, Revenue Integrity

Use this sample form as a guide for a senior billing specialist job description.

Children’s hospital revenue integrity department finds innovative ways to tackle education, communication, and audits

Wed, 06/28/2017
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, Policies and Procedures, Revenue Integrity

When it comes to revenue integrity, new challenges arise daily, but SSM Health Cardinal Glennon Children’s Hospital in St. Louis has a revenue integrity department that’s been meeting them head on.

Director of revenue integrity discusses short- and long-term goals

Thu, 06/15/2017
Revenue Integrity Insider
Billing and Claims, Compliance, Program Management, Revenue Integrity

Prioritization and time management are crucial when it comes to leading a revenue integrity department.Prioritization and time management are crucial when it comes to leading a revenue integrity department. Kimberly Yelton, RHIA, CCS, CDIP, AHIMA Approved ICD-10-CM/PCS Trainer, and director of revenue integrity at WakeMed Health & Hospitals in Raleigh, North Carolina, told NAHRI about her experience with this when planning and following-through with department initiatives.

Decade-old revenue integrity department offers advice for new programs

Wed, 05/24/2017
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Revenue Integrity

Tasked with the impossible—reviewing 100% of charges before they go out the door—the revenue integrity department at Yale New Haven Health in New Haven, Connecticut, knows the importance of having a reliable staff to get the job done right.

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