In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...
The American Medical Association (AMA) recently approved the consolidation of more than 50 codes used to report COVID-19 vaccines, as well as the addition of several new codes.
NAHRI is celebrating the sixth annual Revenue Integrity Week (June 5–9) to acknowledge and raise awareness of the invaluable contributions of revenue integrity professionals in the healthcare industry. With the 2023 State of the Revenue Integrity Industry Survey Report, NAHRI is taking an in-...
Jerilyn Morrissey, MD, clears up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers.
Although commercial payers typically pay more per claim, it is significantly easier for providers to get reimbursed by Medicare, according to a May 2023 Crowe Revenue Cycle Analytics report.
The Office of Inspector General (OIG) recently released an audit report on prior authorization and payment denials by Medicare Advantage Organizations (MAO). The result raised OIG concerns about certain MAO denial practices impacting beneficiary access to medically necessary care.
