NAHRI is holding our annual Revenue Integrity Leadership Exchange September 20–21 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona. Members of the NAHRI Leadership Council have priority access to secure an invitation to this exclusive event.Read More »
Most revenue integrity departments are tasked with supporting accurate and consistent charge reconciliation. Homegrown or third-party technology and automation help accomplish this at many organizations, but some revenue integrity departments lean on manual processes to vet charge reconciliation...Read More »
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 average rate of denials has climbed steeply over the past several years. Addressing the onslaught of denials calls for a keen eye on trends and an interdepartmental approach designed to shift the organization from a reactive to a proactive stance.
