Appealability: Assessing and rating a denial for the possibility of overturn

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Denials and Appeals, Revenue Integrity

Apply these strategies to determine the possibility of a successful appeal.

Effectively appeal payer audits and overpayment demands

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Denials and Appeals, Revenue Integrity

Improve your appeal strategy with an eye on facts and compliance.

Lower A/R days, fewer denials, and increased paid claims

Mon, 06/01/2020
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, Revenue Integrity

Adirondack Health came to TruBridge after discovering they could save money over their previous clearinghouse. Due to the seamless integration to Meditech as well as other product capabilities, the several benefits revealed themselves.

Closing the loop on payer audit strategies

Wed, 04/01/2020
NAHRI Journal - Volume 4, Issue 2
Denials and Appeals, Monitoring and Audits, Payer Contracting, Revenue Integrity

Learn how to standardize and coordinate payer audit responses across your organization.

Note from the director: Become a NAHRI Advisory Board member

Tue, 02/18/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI is currently accepting applications for its Advisory Board. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. Applications are open to current or future NAHRI members and have been extended through March 9, 2020. 

Note from the director: Become a NAHRI Advisory Board member

Wed, 02/19/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

by Jaclyn Fitzgerald, CHRI

The National Association of Healthcare Revenue Integrity Professionals (NAHRI) is currently accepting applications for its Advisory Board. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. Applications are open to current or future NAHRI members and have been extended through March 9, 2020. 

Note from the Director: Submit your RIS call for speakers application by February 3

Wed, 01/29/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Planning is underway for the Fifth Annual Revenue Integrity Symposium, and this is one event you won’t want to miss taking an active role in. This year, we gather October 6–7, 2020, in Westminster (Denver), Colorado. RIS is NAHRI’s national conference—your chance to gather with likeminded professionals from across the country to make lasting connections while learning the latest strategies to excel in your career. And what better way to showcase your passion for revenue integrity and your ever-evolving skillset than getting up on stage and presenting to an audience of your peers.

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Register for our next call:

  • Tues, October 29, 2019 1:00 - 2:00 EDT - 
    • ...

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, moving forward with year two of the site-neutral payment policy for clinic visits, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.

Bring physician advisors’ input to payer contracts

Wed, 07/31/2019
Revenue Integrity Insider
Denials and Appeals, Monitoring and Audits, Payer Contracting, Revenue Integrity

Payer contract terms have far-reaching consequences, from the types of services covered and the documentation required to how appeals are negotiated. Learn how revenue integrity can collaborate with physician advisors to monitor and address problems with payer contracts.

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