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.

Key reporting and documentation strategies for modifier -25

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Understand how to appropriately bill for services using modifier -25.

OIG Work Plan: A proactive road map for compliance

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Gain insights into potential compliance gaps and audit targets.

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.

Documentation tips for bacterial culture lab tests

Wed, 04/02/2025
Revenue Integrity Insider
Coding and Documentation, Denials and Appeals, Revenue Integrity

Review CMS guidance on ordering and documenting bacterial culture lab tests to prevent denials.

Proper usage of POS codes 31 and 32

Wed, 03/26/2025
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.

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

Billing, coding, and documentation policy

Mon, 03/17/2025 - 09:16
Council Resources
Billing and Claims, Coding and Documentation, Compliance, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

This sample billing, coding, and documentation policy was developed by revenue integrity and compliance staff at Spire Orthopedic Partners in Stamford, Connecticut, and contributed by 2025 NAHRI Leadership Council member Sandra Giangreco Brown, MHA, RHIT, CCS-P, CHC, CPC, COC, CHRI, COBGC, PCS,...

Revenue Integrity: Optimizing Patient Care and Financial Outcomes with Cardiac CT

Thu, 03/06/2025 - 08:54
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Revenue Integrity

Join NAHRI, the Society of Cardiovascular Computed Tomography (SCCT), and the Healthcare Financial Management Association (HFMA) as they lead an in-depth conversation on how cardiac CT can improve patient outcomes while driving efficient healthcare resource utilization. This free webinar will...

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