Planning for the end of PHE waivers

Fri, 01/20/2023
Leadership Council Insider
Billing and Claims, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

As we start 2023, one of the biggest questions is the fate of the COVID-19 public health emergency declaration (PHE).Read More »

Download the January 2023 issue of the NAHRI Journal

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

Weighing gains and losses in the 2023 OPPS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.Read More »

Unlocking key changes in the 2023 MPFS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.Read More »

HHS received more than five times as many IDR submission than anticipated

Wed, 01/18/2023
Revenue Integrity Insider
Compliance, Monitoring and Audits, News

More payers and providers are using the independent dispute resolution (IDR) process than the government anticipated to settle payment for items...Read More »

OIG details top unimplemented recommendations for Medicare Parts A and B

Wed, 12/21/2022
Revenue Integrity Insider
Billing and Claims, Compliance, Monitoring and Audits, News

The Office of Inspector General (OIG) recently released its annual report on solutions to reduce fraud, waste, and abuse in HHS programs. In the...Read More »

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...Read More »

OIG to audit CMS for price transparency enforcement

Wed, 10/19/2022
Revenue Integrity Insider
Compliance, Monitoring and Audits, News

The Office of Inspector General (OIG) recently announced it will audit CMS’ monitoring and enforcement of the Hospital Price Transparency final...Read More »

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.Read More »

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