Learn how to deploy, manage, and optimize AI and advanced technologies in revenue integrity

Fri, 11/17/2023
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Advanced technologies, such as AI, machine learning, and robotic process automation, are transforming revenue integrity.

2024 OPPS final rule: Significant updates to hospital price transparency regulations approved

Wed, 11/08/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Hospitals need to start preparing for major changes to price transparency requirements, according to the 2024 Outpatient Prospective Payment System (OPPS) final rule, released November 2. The final rule details a slew of changes to price transparency compliance along with reimbursement changes and updates to numerous other programs.

2024 MPFS final rule includes cuts to conversion factor, implementation of new add-on visit code

Wed, 11/08/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Revenue Integrity

The conversion factor cuts that CMS floated earlier in the year are now confirmed—and heightened. Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule (MPFS) final rule released November 2.

How to launch a pharmacy revenue integrity team

Fri, 10/20/2023
Leadership Council Insider
Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

by Andrew Wade, CHFP

2023 NAHRI Leadership Council Research Series: Essential Takeaways on Revenue Cycle Automation

Thu, 10/19/2023 - 15:49
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, NAHRI Leadership Council, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

This report details the full year findings of the 2023 NAHRI Leadership Council Research Series. Download today to see the full results!

NAHRI Leadership Council Meeting (10-18-23)

Thu, 10/19/2023 - 13:03
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, NAHRI Leadership Council, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Download the October 2023 issue of the NAHRI Journal

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your connection to inspiration and innovation.

Why clear, modern room rate policies matter

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Compliance, Policies and Procedures, Revenue Integrity

Denise Williams, COC, CHRI, explains why clear, modern room rates are important.

NAHRI Council Report - Navigating the Revenue Cycle: The Automation Shift

Fri, 09/29/2023 - 13:07
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Highlights from the 2023 NAHRI Leadership Council Survey Part 2: Unraveling the essentials, benefits, and future of automation.

Hospitals and health systems have faced unprecedented challenges for several years, pushing them to rethink their revenue cycles. Factors like the pandemic and...

2023 NAHRI Leadership Council Research Series: The Rise of Revenue Cycle Automation

Fri, 09/29/2023 - 13:05
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...

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