Next Steps in Denials: Collaborative Solutions, Proactive Moves

Thu, 07/17/2025 - 15:20
Council Resources
Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...

Download the July 2025 issue of the NAHRI Journal

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.

The critical role of collaboration between revenue integrity and managed care contracting

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.

New Medicare appeal process: Financial implications abound

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Navigate the complexities of CMS’ newest appeal process.

Q&A: Structuring denials management

Thu, 06/05/2025
Revenue Integrity Insider
Denials and Appeals, Program Management, Revenue Integrity

Q: How is revenue integrity involved in denials management?

Predict, Prioritize, and Prevent for Successful Denials Management

Thu, 06/05/2025 - 09:04
Webinars
Denials and Appeals, Revenue Integrity

Josh Amrhein offers strategies for improving denials management processes.

Reduce Physician E/M Denials with Compliant Modifier -25 Reporting

Tue, 06/03/2025 - 10:03
Webinars
Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Revenue Integrity

Betty A. Hovey, BSHAM, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I, discusses how to support compliant reporting of modifier -25 and reduce denials.

Recipe for Success: 2025 State of the Revenue Integrity Industry

Mon, 06/02/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Revenue integrity professionals need to understand how new elements in the healthcare industry, from changing regulations to advances in technology

Q&A: Identifying opportunities for expansion

Mon, 06/02/2025
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Q: What areas or functions would you like to see your revenue integrity program take a bigger role in?

Exploring the OIG Workplan

Mon, 06/02/2025 - 10:14
Webinars
Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

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.

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