Gain insights into revenue integrity KPIs

Fri, 02/21/2025
Leadership Council Insider
Chargemaster and Charge Capture, Compliance, NAHRI Leadership Council, Program Management, Revenue Integrity

Revenue integrity KPIs and program structure, pharmacy charging, and revenue integrity’s role in price transparency compliance were among the hot t

NAHRI Quarterly Call - January 28, 2025

Tue, 01/28/2025 - 15:19
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, 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...

NAHRI Leadership Council Meeting (01-23-25)

Fri, 01/24/2025 - 11:09
Council Resources
Chargemaster and Charge Capture, Compliance, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Download the January 2025 issue of the NAHRI Journal

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
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

Prepare for a successful year with NAHRI.

Preventing revenue leakage through an effective revenue integrity program

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

CMS updates price transparency FAQs as new requirements take effect

Wed, 01/15/2025
Revenue Integrity Insider
Compliance, News

Review updated guidance on price transparency and newly required machine-readable file data elements.

NAHRI Leadership Council Meeting (11-06-24)

Thu, 11/07/2024 - 11:02
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Program Management, Revenue Integrity

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wed, 11/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

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