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.

Charge entry standards: ED charges least likely to be entered by clinical staff

Wed, 03/26/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, News, Revenue Integrity

Emergency department (ED) charges are the least likely to be entered by clinical staff or triggered by clinical documentation, according to the preliminary results of the 2025 State of the Revenue Integrity Industry Survey. The survey, which collects information on revenue integrity processes, functions, standards, goals, and more. The survey is open until March 31.

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

Solve common charge lag root causes

Fri, 03/21/2025
Leadership Council Insider
Chargemaster and Charge Capture, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

There are many variables involved in charge capture processes.

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