NAHRI's 2024 State of the Revenue Integrity Industry Report

Tue, 04/23/2024 - 14:03
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 5, 1-2 p.m. Eastern for a dive into NAHRI 2024 State of the Revenue Integrity Industry Report. During this free live webinar, you'll learn about current and upcoming trends in revenue integrity program structure,...

See the latest Council-exclusive resources

Fri, 04/19/2024
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

One of the benefits of NAHRI Leadership Council membership includes access to the Council’s exclusive library of resources including an archive of

2025 IPPS proposed rule covers reimbursement updates, major mandatory bundled payment model

Wed, 04/17/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is considering a lower pay bump for 2025 and a sweeping new mandatory bundled payment model for surgeries.

Download the April 2024 issue of the NAHRI Journal

Wed, 04/10/2024
NAHRI Journal - Volume 8, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Help your career grow and bloom.

A nurse’s path to revenue integrity

Wed, 04/10/2024
NAHRI Journal - Volume 8, Issue 2
Chargemaster and Charge Capture, Revenue Integrity

Stephanie Ellis, RN, BSN, COC, CHRI, shares lessons learned on a nurse’s path to revenue integrity.

Navigating the price transparency implementation timeline

Wed, 04/10/2024
NAHRI Journal - Volume 8, Issue 2
Chargemaster and Charge Capture, Compliance, Policies and Procedures, Revenue Integrity

Ensure your organization is keeping pace with current and upcoming requirements for price transparency compliance.

Late charge reporting policy

Tue, 03/26/2024 - 11:56
Council Resources
Chargemaster and Charge Capture, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

This sample policy for late charge reporting was submitted by 2024 NAHRI Leadership Council member Christie G. Wallen, ARCR, supervisor, revenue integrity, charge integrity at Prisma Health in Greenville, South Carolina.

Accelerate financial performance with an RCM platform strategy

Thu, 03/21/2024 - 16:27
White Papers
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to adopt an end-to-end platform strategy and help avoid managing multiple vendors, migrate operational and security vulnerabilities associated with maintaining disparate systems, and concentrate on patient care.

2024 Revenue Integrity Symposium agenda released

Thu, 03/14/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, News, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is excited to announce the release of the 2024 Revenue Integrity Symposium (RIS) agenda. RIS, to be held September 12–13 in Oak Brook, Illinois, has expanded to three tracks this year.

Managing Modifier 25 and NCCI edits

Fri, 02/16/2024
Leadership Council Insider
Chargemaster and Charge Capture, NAHRI Leadership Council, Revenue Integrity

It is crucial for revenue integrity programs to ensure modifier 25 (significant, separately identifiable evaluation and management [E/M] service by

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