Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical...
CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).
Amy Inch, COTA, CPC, CPMA, discusses how her session at the 2024 Revenue Integrity Symposium will help attendees improve processes for pre- and post-payment audits and protect revenue.
CityMD, an urgent care center group, has agreed to pay over $12 million to settle alleged False Claims Act violations related to reimbursement for COVID-19 testing.
Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.
Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Kay Larsen, BS, CHRI, share tips on maintaining the chargemaster, charge capture strategies for common ancillary services, and more.
These sample guidelines for revenue reconciliation leadership reporting audits were submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S., CPC, CHRI,
CRCR, Revenue Integrity Supervisor at Confluence Health in Washington.
