NAHRI is excited to announce the release of the 2024 Revenue Integrity Symposium (RIS) agenda. RIS, to be held September 12–13 in Oak Brook, Illinois, has expanded to three tracks this year.
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential billing process updates, and strategies for managing patient status changes.
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 on an upcoming NAHRI members-only call, please contact NAHRI at...
Denied claims are a constant burden on many health organizations – often forcing teams to choose between whether to invest time and resources into either denial prevention or denial management. What if you could...
Denials are a constant thorn for healthcare organizations, and are often caused by factors outside of an organization’s control, such as to new payer rules or patients switching medical plans. When left unchecked, claim denials can represent an average loss of up to 5% of net patient revenue.
HHS released a proposed rule on October 27 regarding the federal independent dispute resolution (IDR) process for the No Surprises Act. The rule focuses on early communication between payers and providers, the open negotiation period, batching, eligibility, administrative fee structure, and registration.