The critical role of collaboration between revenue integrity and managed care contracting

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.

Change ahead: Understanding the implications of the 2026 IPPS proposed rule

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Gain insights into the potential impact of proposed changes to hospital reimbursement.

Chargemaster integrity maintenance policy

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Chargemaster and Charge Capture, Policies and Procedures, Revenue Integrity

Use this sample chargemaster integrity maintenance policy as a template for your organization.

Chargemaster maintenance integrity policy

Wed, 07/09/2025 - 09:29
Policies & Procedures
Chargemaster and Charge Capture, Revenue Integrity

Use this sample chargemaster integrity maintenance policy from NAHRI’s Core Functions of Revenue Integrity, Second Edition, as a template for your organization.

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. 

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