How to correctly use modifier -25

Fri, 04/18/2025
Leadership Council Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, Revenue Integrity

When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evalu

2026 IPPS proposed rule: CMS proposes payment updates, mulls significant changes to numerous programs

Wed, 04/16/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.

2025 State of the Revenue Integrity Industry Webinar

April 10, 2025
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and our panel of revenue integrity leaders and experts on June 6 from 1 to 2 p.m. Eastern to learn what ingredients you need for a recipe for revenue integrity success! Using the data from NAHRI's 2025 State of the Revenue Integrity Industry Survey, we'll discuss current and upcoming...

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.

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.

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...

Executive order directs HHS to improve price transparency

Wed, 03/05/2025
Revenue Integrity Insider
Compliance, News, Revenue Integrity

As hospitals continue to struggle to comply with price transparency requirements, HHS has been tasked with updating guidance and enforcement actions.

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