Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...
The Office of Inspector General (OIG) released the latest edition of its semiannual report to Congress, which summarizes the agency’s recent oversight activities, enforcement actions, and monetary impact.
Leigh Poland, RHIA, CCS, CDIP, CIC, explains how to use the Office of Inspector General's (OIG) Work Plan to identify internal audit opportunities, shore up reimbursement compliance, and protect revenue.
NAHRI is celebrating the eighth annual Revenue Integrity Week (June 2–6) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of...
