Study shows providers burdened by increasing rate of denials in 2022

Wed, 02/01/2023
Revenue Integrity Insider
Denials and Appeals, News, Revenue Integrity

Denial rates are continuing to rise, according to a November 2022 Crowe report on revenue and expense issues in healthcare.Read More »

CMS proposes rule to streamline prior authorization

Wed, 12/14/2022
Revenue Integrity Insider
Compliance, Denials and Appeals, News, Policies and Procedures

CMS released a proposed rule on December 6 to promote transparency, efficiency, and automation in prior authorization processes. Certain...Read More »

NAHRI Quarterly Call - October 25, 2022

Tue, 10/25/2022 - 15:41
Quarterly Calls
Billing and Claims, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to NAHRI Quarterly Conference 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...

Developing reports using claim edit and denial data

Fri, 10/21/2022
Leadership Council Insider
Billing and Claims, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

It’s helpful to understand payer-specific contract terms and government billing requirements when developing work lists or work queues and reports...Read More »

Download the October 2022 issue of the NAHRI Journal

Wed, 10/05/2022
NAHRI Journal - Volume 6, 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

Reach your destination by planning for revenue integrity success.Read More »

Under the microscope: Analyzing denial and edit data

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Denials and Appeals, Revenue Integrity

Put your data to work by using it head off denials and solve recurring edits.Read More »

Using charge strategies to address and prevent denials

Fri, 08/19/2022
Leadership Council Insider
Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

A proactive approach to denials is based on looking for opportunities to address and mitigate issues before claim submission.Read More »

Learn how to access and understand data in the 835 remittances

Wed, 07/20/2022
Revenue Integrity Insider
Denials and Appeals, Program Management, Revenue Integrity

Marie A. Stinebuck, MBA, MSN, RN, ACM, looks at collaboration with clinical teams. Read More »

Stream the July 13 meeting now

Fri, 07/15/2022
Leadership Council Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

A recording of the NAHRI Leadership Council’s July 13 meeting is now available.Read More »

First research report of 2022 looks at processes for managing and creating custom claim edits

Fri, 07/15/2022
Leadership Council Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health...Read More »

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