Leigh Poland, RHIA, CCS, CDIP, CIC, explains how to use the Office of Inspector General's (OIG) Work Plan to identify internal audit opportunities, shore up reimbursement compliance, and protect revenue.
NAHRI is celebrating the eighth annual Revenue Integrity Week (June 2–6) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of...
Hospitals aren’t just reacting to denials anymore—they’re redesigning the playbook. As commercial and Medicare Advantage (MA) denials grow more complex, organizations are taking strategic, cross-functional approaches to manage them. Revenue integrity teams are leveraging analytics to detect...
Q: If a provider documents sepsis with acute kidney injury but does not explicitly link the two conditions, should they be queried to prevent the claim from being denied?
Join NAHRI and our panel of revenue integrity leaders and experts on June 4 from 1 to 2 p.m. Eastern to learn what ingredients you need for a recipe for revenue integrity success! Using the data from NAHRI's 2025 State of the Revenue Integrity Industry Survey, we'll discuss current and upcoming...
What are the top trends in healthcare RCM for 2025?
Unlock six top priorities as identified by 600 healthcare and finance leaders
The healthcare revenue cycle is always changing. As organizations navigate challenges like higher denial rates, payer changes, and data security risks,...
