Uncover the ways that you can prepare for audit activity

Wed, 07/06/2022
Revenue Integrity Insider
Denials and Appeals, Monitoring and Audits, Revenue Integrity

Diane Weiss, CPC, CPB, CCP, CHRI, looks at trends in payer audit activity.

Develop a deeper understanding of payer-provider incentives

Wed, 06/29/2022
Revenue Integrity Insider
Denials and Appeals, Revenue Integrity

Jerilyn Morrissey, MD, shares why revenue integrity professionals need to think outside the box to address denials and understand payer performance.

Q&A: Tracking denials

Fri, 06/10/2022
Revenue Integrity Insider
Ask NAHRI, Denials and Appeals, Revenue Integrity

Q: What processes do you have in place for tracking and reporting denials data?

Q&A: Staffing for chargemaster

Wed, 06/08/2022
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Revenue Integrity

Q: How is your chargemaster staffed and managed?

Tips for complying with CMS’ inpatient-only rule on cath lab cases

Tue, 06/07/2022
Revenue Integrity Insider
Billing and Claims, Compliance, Denials and Appeals, Revenue Integrity

Tina Rosier, MS, PT, discusses how her organization deployed tools built into the EHR and focused education to prevent inpatient only denials in the cardiac catheterization laboratory.

2022 State of the Revenue Integrity Industry Survey Report

June 6, 2022
Industry Report
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

NAHRI is hosting the fifth annual Revenue Integrity Week to celebrate the hard work, dedication, and remarkable achievements of revenue integrity professionals across the country. As part of Revenue Integrity Week, NAHRI takes an in-depth look at trends across the industry with the 2021 State of the Revenue Integrity Industry Survey Report. The survey explores the roles and responsibilities of revenue integrity professionals, their backgrounds, and the key functions of the job.

Get Proactive With Front-End Revenue Cycle Utilization Review

Thu, 06/02/2022 - 11:12
Webinars
Billing and Claims, Denials and Appeals, Program Management, Revenue Integrity

Tiffany Ferguson, LMSW, CMAC, ACM, and Marie Stinebuck, MBA, MSN, ACM, will explain how UR can work with front-end revenue cycle processes and staff to develop successful programs.

Tackling Denials: Starting Out the New Year on the Defense

Thu, 06/02/2022 - 10:34
Webinars
Denials and Appeals, Revenue Integrity

Nicole Crytser, BA, AA, CRCR, and Rose T. Dunn, MBA, RHIA, CPA, CHPS, FACHE, FHFMA, share processes to identify, dissect, prioritize, monitor, and reduce denials and ensure claims are processed correctly.

Creating and Managing Custom Edits

Mon, 05/30/2022 - 11:05
Council Resources
Coding and Documentation, Denials and Appeals, NAHRI Leadership Council

NAHRI Leadership Council shares best practices, resolving top challenges, and working around staffing shortages.

In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding...

2022 Revenue Integrity Symposium agenda released

Fri, 05/20/2022
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

The agenda for the 2022 Revenue Integrity Symposium (RIS) has been released. The event, to be held September 19–20 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona, will feature two educational tracks covering essential revenue integrity education, updates, and thought leadership.

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