2025 State of the Revenue Integrity Industry Report

June 2, 2025
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is celebrating the eighth annual Revenue Integrity Week (June 2–6) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of...

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

CMS issues CY 2026 MA and Part D final rule, rate announcement

Wed, 04/09/2025
Revenue Integrity Insider
Coverage, Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

Assess key policy and technical changes to Medicare Advantage (MA) and Part D programs for contract year (CY) 2026.

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.

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.

CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wed, 03/12/2025
Revenue Integrity Insider
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.

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...

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...

Preventing denials for CPAP devices and accessories

Wed, 01/22/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, Denials and Appeals

Review coverage criteria and documentation tips for continuous positive airway pressure (CPAP) devices and accessories.

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