Unlock a four-step plan for denial prevention

Fri, 07/26/2024 - 11:48
White Papers
Denials and Appeals, Revenue Integrity

Denial prevention continues to be a top priority in today’s healthcare revenue cycle. From optimizing claim submission to activating an appeals plan, you’ll get every action item you need to prevent and overturn denials — plus key metrics to track as you go.

How to develop a professional fee revenue integrity program

Fri, 07/19/2024
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity leaders looking to make an impact on the professional fee side of their organizations need to understand the unique opportunities

How to hold Medicare Advantage plans accountable

Wed, 07/10/2024
Revenue Integrity Insider
Compliance, Coverage, Denials and Appeals, News, Revenue Integrity

Kimberly A. Hoy, JD, CPC, discusses how her session at the 2024 Revenue Integrity Symposium will help organizations fight back against improper Medicare Advantage denials.

Download the July 2024 issue of the NAHRI Journal

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
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

Celebrate your journey and acknowledge your success.

Establishing a denial prevention program

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Denials and Appeals, Program Management, Revenue Integrity

Erin Brearley Cutter, MBA, CHRI, CRCR, COC, CPC, shares how an effective denials prevention program has made an impact at her organization.

2024 Research Series Panel Discussion Part 2 (June 26)

Thu, 06/27/2024 - 14:26
Council Resources
Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Denial prevention committee charter

Thu, 06/06/2024 - 11:46
Policies & Procedures
Denials and Appeals, Revenue Integrity

This sample policy was provided to the National Association of Healthcare Revenue Integrity (NAHRI) by Erin Brearley Cutter, MBA, CHRI, CRCR, COC, CPC, revenue integrity director at Concord Hospital Health System in New Hampshire.

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37
Webinars
Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Demonstrating the value of revenue integrity

Thu, 06/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Denials and Appeals, Program Management, Revenue Integrity

During 2024 Revenue Integrity Week, NAHRI is focused on raising awareness of the value that revenue integrity professionals bring to their organizations. By shining a light on best practices, data, and forward-thinking strategies, we can help revenue integrity professionals demonstrate everything they contribute to the healthcare industry.

Download the 2024 State of the Revenue Integrity Industry Report

Thu, 06/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Denials and Appeals, Program Management, Revenue Integrity

The 2024 State of the Revenue Integrity Industry Report takes a deep dive into standards and trends across the industry to highlight the work revenue integrity professionals do.

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