Determining Whether to Charge or Not Charge for an Individual Supply

Tue, 05/26/2026 - 11:10
Policies & Procedures
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Compliance, Coding and Documentation, Chargemaster and Charge Capture

The following is a tool for determining whether an individual supply item is considered to be “routine” for the purposes of creating a charge on the chargemaster.

Analyzing the compliance and reimbursement impact of OPPS and MPFS updates

Wed, 05/20/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain expert insights into the nuances of how CMS' rules affect reimbursement and what revenue integrity can do to protect compliant revenue and adapt to changes.

Reducing charge lag and late charges

Wed, 05/13/2026
Revenue Integrity Insider
Revenue Integrity, Program Management, Chargemaster and Charge Capture

Get practical tips and insights to effectively address charge lag and late charges.

Using HIPAA’s administrative simplification requirements and the CDM to combat denials

Wed, 05/06/2026
Revenue Integrity Insider
Revenue Integrity, Denials and Appeals, Compliance, Chargemaster and Charge Capture

Learn how HIPAA's administrative simplification provisions are key to fighting denials.

Defining charge reconciliation roles

Fri, 04/17/2026
Leadership Council Insider
Policies and Procedures, Revenue Integrity, Program Management, Chargemaster and Charge Capture

In theory, charge-generating departments own charge reconciliation, usually with some level of support from revenue integrity.

2027 IPPS proposed rule: Payment updates, expanded CJR model

Wed, 04/15/2026
Revenue Integrity Insider
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, News, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. 

2026 State of the Revenue Integrity Industry Webinar

April 13, 2026
Webinars
Policies and Procedures, Revenue Integrity, Program Management, Payer Contracting, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

On Wednesday, June 3, 1-2 p.m. Eastern, join NAHRI and our panel of revenue integrity leaders and experts to gain insights into how you can set the stage for revenue integrity success! Taking data from NAHRI's 2026 State of the Revenue Integrity Industry Survey, we'll look at current and...

Download the April 2026 issue of the NAHRI Journal

Wed, 04/01/2026
NAHRI Journal - Volume 10, Issue 2
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how to set the stage for your revenue integrity success.

From silos to synergy: Driving DNFB reduction through revenue integrity leadership

Wed, 04/01/2026
NAHRI Journal - Volume 10, Issue 2
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Chargemaster and Charge Capture

Michael de Armas, MSHIA, CPC, CRCR, CSBI, shares tips for reducing DNFB through revenue integrity leadership.

Integrity in policy: The fundamentals of charge reconciliation policies

Wed, 04/01/2026
NAHRI Journal - Volume 10, Issue 2
Policies and Procedures, Revenue Integrity, Program Management, Chargemaster and Charge Capture

Use these expert tips to develop and refine a sound charge reconciliation policy.

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