Payer contract terms have far-reaching consequences, from the types of services covered and the documentation required to how appeals are...Read More »
As part of its Patients Over Paperwork initiative, CMS is collecting public input on ways to reduce unnecessary administrative and regulatory...Read More »
In the spirit of Revenue Integrity Week, which is designed to celebrate the diligence and dedication of revenue integrity professionals, NAHRI’s...Read More »
In the spirit of Revenue Integrity Week, which is designed to celebrate the diligence and dedication of revenue integrity professionals, NAHRI’s State of the Revenue Integrity Industry Survey once again took a deep dive into the roles of revenue integrity professionals, the activities they are responsible for, and the backgrounds from which they came. Though many respondents have been performing duties that align with revenue integrity work for upwards of decades, established revenue integrity titles and roles have been around for a shorter period. As we compare results from last year, we can only begin to see a shift as facilities establish departments and programs and further define revenue integrity.
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors...Read More »
