KPIs: Follow payment integrity for revenue integrity success

Wed, 07/01/2020
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, Program Management, Revenue Integrity

Learn how one hospital tracks appeals and recoveries to monitor financial health and revenue integrity success.Read More »

Download the July 2020 issue of the NAHRI Journal

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Discover how core revenue integrity strengths can help overcome today’s challenges.Read More »

Define success with charge reconciliation

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Chargemaster and Charge Capture, Monitoring and Audits, Revenue Integrity

Learn how to implement an effective charge reconciliation program at your organization.Read More »

Closing the loop on payer audit strategies

Wed, 04/01/2020
NAHRI Journal - Volume 4, Issue 2
Denials and Appeals, Monitoring and Audits, Payer Contracting, Revenue Integrity

Learn how to standardize and coordinate payer audit responses across your organization.Read More »

OIG: Medicare improperly paid hospitals more than $50 million for post-acute transfers

Wed, 12/11/2019
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, Revenue Integrity

Medicare made $54.4 million in improper payments to acute care hospitals for post-acute transfers that did not comply with Medicare’s policies,...Read More »

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Register for our next call:

  • Tues, October 29, 2019 1:00 - 2:00 EDT - 
    • ...

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »

Bring physician advisors’ input to payer contracts

Wed, 07/31/2019
Revenue Integrity Insider
Denials and Appeals, Monitoring and Audits, Payer Contracting, Revenue Integrity

Payer contract terms have far-reaching consequences, from the types of services covered and the documentation required to how appeals are...Read More »

Note from the speaker: Sharing TPE and audit success

Wed, 07/24/2019
Revenue Integrity Insider
Monitoring and Audits, Revenue Integrity

Facilities need to know how to respond to documentation requests as part of any Medicare audit or review. Preparing a complete and proper reply...Read More »

Note from the speaker: Using PEPPER to unlock revenue integrity success

Wed, 07/10/2019
Revenue Integrity Insider
Monitoring and Audits, Revenue Integrity

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is key to revenue integrity success. Understanding its benefits and limits...Read More »

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