Building a CPT coding foundation for mental health services

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Apply these expert tips to improve billing and coding for behavioral health claims.

Ensuring appropriate coding and documentation for skin substitute claims

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Ensure your organization is in compliance with coding and documentation requirements for skin substitute claims.

CMS launches new model to test prior authorization improvements

Wed, 07/02/2025
Revenue Integrity Insider
Billing and Claims, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently announced it will partner with companies specializing in enhanced technologies to test improvements to prior authorization processes via a new Innovation Center model.

OIG publishes semiannual report to Congress

Wed, 06/25/2025
Revenue Integrity Insider
Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) released the latest edition of its semiannual report to Congress, which summarizes the agency’s recent oversight activities, enforcement actions, and monetary impact.

Preparing for government payer audit activity

Tue, 06/17/2025
Leadership Council Insider
Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals

How to keep up with changing rules and regulations

Wed, 06/11/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.

Breaking Down the 2026 IPPS Proposed Rule

Fri, 06/06/2025 - 17:55
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, analyzes major proposals of the 2026 Inpatient Prospective Payment System (IPPS) proposed rule. This webinar is an edited version of the full, 60-minute program.

CPT Coding for Emergency Department and Critical Care

Fri, 06/06/2025 - 09:02
Webinars
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Hamilton Lempert, MD, CEDC, shares tips on correct CPT coding for emergency department and critical care services.

Please note that CEUs are not available for this program.

Medical Necessity: ICD-10-CM Coding and Reimbursement

Wed, 06/04/2025 - 09:04
Webinars
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Shelley C. Safian, PhD, RHIA, MAOM CCS-P, CPC-I, shares tips on ensuring accurate coding and reimbursement to support medical necessity.

Reduce Physician E/M Denials with Compliant Modifier -25 Reporting

Tue, 06/03/2025 - 10:03
Webinars
Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Revenue Integrity

Betty A. Hovey, BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I, discusses how to support compliant reporting of modifier -25 and reduce denials.

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