NAHRI Leadership Council Meeting (04-13-23)

Fri, 04/14/2023 - 14:41
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Program Management, Revenue Integrity

Download the April 2023 issue of the NAHRI Journal

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Map a course to revenue integrity success.

Current and upcoming trends in payer audit activity

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Denials and Appeals, Monitoring and Audits, Revenue Integrity

Learn what claims are coming under heightened payer scrutiny and how to prepare for increased audit activity.

Refresh and reset: Tips for interdepartmental denials resolution

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Apply these tips to improve your organization’s denial management program.

It’s all about the data: Tracking trends in healthcare claims

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get ahead of denials by making strategic use of data.

Study shows providers burdened by increasing rate of denials in 2022

Wed, 02/01/2023
Revenue Integrity Insider
Denials and Appeals, News, Revenue Integrity

Denial rates are continuing to rise, according to a November 2022 Crowe report on revenue and expense issues in healthcare.

CMS proposes rule to streamline prior authorization

Wed, 12/14/2022
Revenue Integrity Insider
Compliance, Denials and Appeals, News, Policies and Procedures

CMS released a proposed rule on December 6 to promote transparency, efficiency, and automation in prior authorization processes. Certain requirements in the proposed rule are also intended to improve data accessibility for patients, providers, and payers.

NAHRI Quarterly Call - October 25, 2022

Tue, 10/25/2022 - 15:41
Quarterly Calls
Billing and Claims, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting...

Developing reports using claim edit and denial data

Fri, 10/21/2022
Leadership Council Insider
Billing and Claims, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

It’s helpful to understand payer-specific contract terms and government billing requirements when developing work lists or work queues and reports.

Download the October 2022 issue of the NAHRI Journal

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Reach your destination by planning for revenue integrity success.

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