CMS publishes 2025 Q3 update for NCCI edit files

Wed, 06/18/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, News

CMS posted the third quarter National Correct Coding Initiative (NCCI) edit files, which will take effect on July 1. 

Q&A: Solving charge reconciliation challenges

Wed, 06/04/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: What are some major charge reconciliation challenges, and how do you address them?

Q&A: Managing chargemaster updates and maintenance

Tue, 06/03/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Q: At your organization, how are chargemaster updates and maintenance handled?

Recipe for Success: 2025 State of the Revenue Integrity Industry

Mon, 06/02/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Revenue integrity professionals need to understand how new elements in the healthcare industry, from changing regulations to advances in technology

2025 State of the Revenue Integrity Industry Report

June 2, 2025
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is celebrating the eighth annual Revenue Integrity Week (June 2–6) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of...

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 4 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...

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