CMS publishes new guidance, RFI on price transparency requirements

Wed, 05/28/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, News, Policies and Procedures, Revenue Integrity

CMS is taking steps to comply with a recent executive order to improve and prioritize hospital price transparency requirements. 

How to respond to commercial payer line item denials

Fri, 05/16/2025
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

When organizations receive a charge denial from a commercial payer, they must weigh their options to determine whether challenging the decision wil

NAHRI Quarterly Call - April 29, 2025

Tue, 04/29/2025 - 17:17
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Policies and Procedures, Program Management, 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...

2026 IPPS proposed rule: CMS proposes payment updates, mulls significant changes to numerous programs

Wed, 04/16/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.

2025 State of the Revenue Integrity Industry Webinar

April 10, 2025
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and our panel of revenue integrity leaders and experts on June 6 from 1 to 2 p.m. Eastern to learn what ingredients you need for a recipe for revenue integrity success! Using the data from NAHRI's 2025 State of the Revenue Integrity Industry Survey, we'll discuss current and upcoming...

Download the April 2025 issue of the NAHRI Journal

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Create your recipe for revenue integrity success.

Authorization denials related to procedure and device codes

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Revenue Integrity

Anna Santoro, MBA, CHRI, CCS, CCS-P, RCC, shares strategies for combatting authorization denials related to procedure and device codes.

Best practices for fighting commercial payer line-item denials

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Chargemaster and Charge Capture, Denials and Appeals, Revenue Integrity

Apply these expert tips to avoid and resolve line-item denials.

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.

How to optimize the chargemaster for charge capture

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Chargemaster and Charge Capture, Revenue Integrity

Put these best practices into action to support complete, accurate charge capture.

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