PEPPER Action Plans: Contemporary Approaches to Revenue Integrity

Fri, 05/31/2019 - 15:32
Webinars
Denials and Appeals, Revenue Integrity

NAHRI needs to hear from you: Take our State of the Revenue Integrity Industry survey

Fri, 04/19/2019
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is conducting its annual State of the Revenue Integrity Industry survey, and we want to hear about your revenue integrity experience.

Hitting the mark: Defend against IRF audits and denials with coding and documentation improvements

Mon, 04/01/2019
NAHRI Journal - Volume 3, Issue 2
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Use these expert tips to tighten up IRF compliance and avoid costly denials.

Vet documentation for IRF appeals

Mon, 04/01/2019
NAHRI Journal - Volume 3, Issue 2
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Experts share insight on how to ensure inpatient rehabilitation facility documentation will stand up to an appeal.

Take control of Medicare Advantage denial challenges

Mon, 04/01/2019
NAHRI Journal - Volume 3, Issue 2
Denials and Appeals, Revenue Integrity

Learn how to cut through the confusion and use a team approach to solve these difficult denials.

CMS: Medical necessity errors account for more than 90% of improper payments for routine venipuncture labs

Wed, 02/20/2019
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, News, 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 accounted 98.9% of the improper payments, according to CMS.

Use benchmarks to stop revenue leakage through small-dollar edits and denials

Wed, 02/13/2019
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Learn how to track and evaluate small-dollar denials before they add up to major revenue losses.

Revenue integrity associate for denial management job description

Fri, 02/08/2019 - 14:56
Job Descriptions
Denials and Appeals, Program Management, Revenue Integrity

Use this sample revenue integrity associate for denial management job description as a template for your facility.

NAHRI news and revenue integrity insights on our latest quarterly call

Wed, 02/06/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Policies and Procedures, Program Management, Revenue Integrity

On January 29, NAHRI presented its first members-only quarterly call of the year, where members heard from revenue integrity experts on engaging clinical staff, chargemaster updates, and addressing denials at their root cause.

Note from the director: 2019 Revenue Integrity Symposium keynote, location, dates announced

Wed, 01/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Revenue Integrity

It’s hard to believe planning for the 2019 Revenue Integrity Symposium (RIS) is already underway. It feels like just yesterday we were all gathered in Phoenix exchanging ideas, learning about the latest regulatory changes, and soaking up that desert sun at 2018 RIS. The symposium is NAHRI’s official annual conference and you do not want to miss what we have in store this year.

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