Top Six Trends for Healthcare Revenue Cycle

Wed, 04/09/2025 - 13:57
Free White Papers
Billing and Claims, Denials and Appeals, Program Management, Revenue Integrity

What are the top trends in healthcare RCM for 2025?

Unlock six top priorities as identified by 600 healthcare and finance leaders

The healthcare revenue cycle is always changing. As organizations navigate challenges like higher denial rates, payer changes, and data security risks,...

CMS issues CY 2026 MA and Part D final rule, rate announcement

Wed, 04/09/2025
Revenue Integrity Insider
Coverage, Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

Assess key policy and technical changes to Medicare Advantage (MA) and Part D programs for contract year (CY) 2026.

Download the April 2025 issue of the NAHRI Journal

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
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

Create your recipe for revenue integrity success.

Authorization denials related to procedure and device codes

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Revenue Integrity

Anna Santoro, MBA, CHRI, CCS, CCS-P, RCC, shares strategies for combatting authorization denials related to procedure and device codes.

Best practices for fighting commercial payer line-item denials

Wed, 04/02/2025
NAHRI Journal - Volume 9, Issue 2
Chargemaster and Charge Capture, Denials and Appeals, Revenue Integrity

Apply these expert tips to avoid and resolve line-item denials.

Documentation tips for bacterial culture lab tests

Wed, 04/02/2025
Revenue Integrity Insider
Coding and Documentation, Denials and Appeals, Revenue Integrity

Review CMS guidance on ordering and documenting bacterial culture lab tests to prevent denials.

NAHRI Leadership Council Meeting (03-20-25)

Fri, 03/21/2025 - 13:25
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Register for the April research series panel discussion

Fri, 03/21/2025
Leadership Council Insider
Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

On April 17, 2-3 p.m.

2025 Research Series Panel Discussion Part 1 (March 12)

Thu, 03/13/2025 - 09:36
Council Resources
Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

AHA report details MA plans’ impact on rural hospitals

Wed, 02/26/2025
Revenue Integrity Insider
Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

The American Hospital Association (AHA) released a report to highlight how Medicare Advantage (MA) organizations create increased administrative and financial burdens for rural hospitals.

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