Q: We are experiencing post-payment audits that result in denials of inpatient claims. Our coders and CDI leaders are vehement that the patient meets MCG and/or coding guidelines, but the payer is using clinical results from the patient as their justification. It seems as if they are ignoring...Read More »
The American Medical Association recently announced three new CPT codes for administration of Pfizer’s COVID-19 vaccine in children 6 months to under 5 years old.Read More »
NAHRI is conducting the 2022 State of the Revenue Integrity Industry Survey and is interested in learning about your revenue integrity experience.Read More »
The COVID-19 pandemic has caused many departments to shift to working remotely over the last couple of years. Learn how management strategies have adapted.Read More »
Although the diagnoses most often targeted for denials remain familiar, payers’ denials reasons and strategies are constantly evolving. Use fresh approaches and real data to address and avoid denials.Read More »
Mastering Utilization Review and Patient Status: A NAHRI Virtual Event is a one-of-a-kind education and networking experience for revenue cycle and utilization review (UR) professionals. Back by popular demand for a second year, this virtual conference will be held March 8–9.Read More »
