Revenue Integrity: Taking an integrated, data-driven approach to charge capture

Thu, 10/06/2022 - 13:07
White Papers
Chargemaster and Charge Capture, Compliance, Revenue Integrity
An estimated 1% of net revenue is lost every year due to incorrect or incomplete coding—costing hospitals millions of dollars annually.
 
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NAHRI Leadership Council Meeting (10-05-22)

Wed, 10/05/2022 - 16:36
Council Resources
Chargemaster and Charge Capture, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

Download the October 2022 issue of the NAHRI Journal

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
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

Reach your destination by planning for revenue integrity success.Read More »

Using charge strategies to address and prevent denials

Fri, 08/19/2022
Leadership Council Insider
Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

A proactive approach to denials is based on looking for opportunities to address and mitigate issues before claim submission.Read More »

Q&A: Billing for transplant donor services

Wed, 08/03/2022
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Revenue Integrity

Q: How do we to handle charges for donor-related services when the donor is an unsuccessful match? Should the charges for services provided to a...Read More »

2023 OPPS proposed rule: CMS considers options for 340B reimbursement, more prior authorization

Wed, 07/20/2022
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement in the wake of the...Read More »

Download the July 2022 issue of the NAHRI Journal

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
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

Focus on the people and processes that make revenue integrity work.Read More »

Transitioning revenue integrity from an operational reactive to a proactive approach

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Anna Santoro, MBA, CCS, CCS-P, RCC, CHRI, shared three steps to a proactive revenue integrity department.Read More »

2023 IPPS proposed rule: Changes on the horizon

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.Read More »

Proactive processes: Tips for preventing denials and protecting revenue

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.Read More »

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