Note from the associate editor: Looking ahead to NAHRI events in 2021

Wed, 01/20/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Revenue Integrity

It’s a new year, and NAHRI is excited to provide unique educational opportunities throughout 2021.Read More »

Your chance to speak at the 2021 Revenue Integrity Symposium

Fri, 01/15/2021
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the...Read More »

Download the January 2021 issue of the NAHRI Journal

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Get a fresh perspective on revenue integrity for the new year.Read More »

Targeted defense: How to get ahead of pre-payment audits

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Denials and Appeals, Monitoring and Audits, Revenue Integrity

Use these strategies to effectively address pre-payment audits.Read More »

Your chance to speak at the 2021 Revenue Integrity Symposium

Fri, 12/11/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s Revenue Integrity Symposium is a fantastic way to network with and learn from revenue integrity professionals from across the country. But...Read More »

Effectively appeal payer audits and overpayment demands

Fri, 11/20/2020
Leadership Council Insider
Denials and Appeals

Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a...Read More »

Rating a Denial for the Possibility of Overturn (November 5, 2020)

Submitted by jfitzgerald@hcp... on Thu, 11/05/2020 - 15:54

Topic: Rating a Denial for the Possibility of Overturn

Agenda:

  • Introduce the concept of an appeal scoring tool
  • Discuss the power of the tool
  • Considerations in developing an appeal scoring tool

Featuring:

  • Denise Wilson, MS, RN, RRT, senior vice president of Denial Research Group – AppealMasters
  • Tracey A. Tomak, RHIA, PMP, director of project management and client engagement at Intersect Healthcare in Towson, Maryland

October Quarterly Call features association updates, tips for optimizing reimbursement in post-COVID world

Wed, 11/04/2020
Revenue Integrity Insider
Coding and Documentation, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s October 27 Quarterly Call featured important association updates, an in-depth presentation on optimizing post-COVID-19 reimbursements...Read More »

Download the October 2020 issue of the NAHRI Journal

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
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

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

Good defense: Manage denial and audit activity with strong coding and documentation

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Use these tips to shore up coding and documentation for COVID-19 claims.Read More »

Pages