Thinking local: Revenue integrity and Medicaid

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to establish revenue integrity best practices for Medicaid populations.

Download the October 2019 issue of the NAHRI Journal

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your inspiration to stay informed and motived on your revenue integrity journey.

OPPS proposed rule floats far-reaching changes

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.

Prior authorization for select services

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the potential impact of CMS' prior authorization proposals.

Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.

Telehealth coverage

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Coverage, Revenue Integrity

Learn about telehealth coverage for specific payers to develop services.

Position Paper: Submitting Comments to Medicare on Its FY 2020 IPPS Proposed Rule

Thu, 05/30/2019 - 15:19
White Papers
Coverage, Revenue Integrity

The NAHRI Professional Advocacy Committee is responsible for the research and development of position papers that can help further the revenue integrity profession and bring awareness to matters impacting revenue integrity practices. This position paper from the committee looks at inpatient...

CMS backs off from Part D and Medicare Advantage step therapy proposals

Wed, 05/29/2019
Revenue Integrity Insider
Coverage, News, Revenue Integrity

CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.

Hitting the mark: Defend against IRF audits and denials with coding and documentation improvements

Mon, 04/01/2019
NAHRI Journal - Volume 3, Issue 2
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Use these expert tips to tighten up IRF compliance and avoid costly denials.

Vet documentation for IRF appeals

Mon, 04/01/2019
NAHRI Journal - Volume 3, Issue 2
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Experts share insight on how to ensure inpatient rehabilitation facility documentation will stand up to an appeal.

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