Successful strategies to appeal denials for AKI and ATN

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Coding and Documentation, Denials and Appeals, Revenue Integrity

Put these practices into place to overcome clinical validation denials for these services.Read More »

Medicare Advantage proposed rule earns praise, criticism from pharmacy groups and patient advocacy organizations

Thu, 12/13/2018
Revenue Integrity Insider - Volume 2 Issue 31
Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned...Read More »

Note from the speaker: Denial prevention strategies at the 2018 Revenue Integrity Symposium

Tue, 10/09/2018
Revenue Integrity Insider - Volume 2 Issue 24
Denials and Appeals, Revenue Integrity

By Tracey A. Tomak, PMP, RHIA

It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018...Read More »

OIG: Medicare Advantage overturns 75% of its own claim denials

Wed, 10/03/2018
Revenue Integrity Insider - Volume 2 Issue 25
Billing and Claims, Denials and Appeals, Revenue Integrity

The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment...Read More »

Note from the speaker: Patient status and denials education at the 2018 Revenue Integrity Symposium

Wed, 10/03/2018
Revenue Integrity Insider - Volume 2 Issue 25
Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

By Ralph Wuebker, MD, MBA

The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as...Read More »

Note from the speaker: Guidance on Medicare hearings from a former Administrative Law Judge

Wed, 09/26/2018
Revenue Integrity Insider - Volume 2 Issue 25
Denials and Appeals, Revenue Integrity

By Alicia Kutzer, Esq., LLM, MHA

It is critical for providers and any person who is involved with healthcare revenue integrity to...Read More »

Smart tech: Understanding the role of EHRs and provider documentation in denials

Wed, 07/11/2018
Revenue Integrity Insider - Volume 2 Issue 19
Coding and Documentation, Denials and Appeals, Revenue Integrity

EHR prompts and autofilled forms designed to help providers can lead to poor documentation and coding if not used wisely. Avoid these common...Read More »

Q&A: Services included in room and board

Wed, 05/16/2018
Revenue Integrity Insider - Volume 2 Issue 10
Ask NAHRI, Billing and Claims, Coverage, Denials and Appeals, Revenue Integrity

Q: Is there any specific guidance on what nursing services should be included in room and board and covered under routine services?Read More »

NAHRI’s second Quarterly Call shares expert advice and revenue integrity news

Wed, 05/02/2018
Revenue Integrity Insider - Volume 2 Issue 9
Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Revenue Integrity

More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives...Read More »

NAHRI Quarterly Call - April 24, 2018

Tue, 04/24/2018 - 14:50
Quarterly Calls
Billing and Claims, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

A recording of our April 24 NAHRI Quarterly Call. 

Pages