Design for success: Reviewing chargemaster maintenance and charge capture strategies

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Apply these expert tips to improve chargemaster maintenance and boost charge capture.

Selecting the right revenue code

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choices

Shaping up: Revenue integrity program functions and staffing

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Define and clarify revenue integrity priorities and staffing needs to support program success

Chargemaster skills and competencies

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Use these tips to define and identify required skills for chargemaster roles.

Defining medical necessity

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Coding and Documentation, Compliance, Revenue Integrity

Review requirements for medical necessity and compliant physician orders.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023
NAHRI Journal - Volume 7, Issue 3
Payer Contracting, Policies and Procedures, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

Sample utilization review guideline language for payer contracts

Wed, 07/12/2023 - 10:26
Policies & Procedures
Payer Contracting, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.

The Importance of Accurate Revenue Code Selection

Wed, 07/05/2023 - 14:32
White Papers
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Accurate revenue code selection affects concerns central to revenue integrity and the operations of healthcare provider organizations such as compliance and reimbursement. In this white paper, NAHRI Advisory Board Valerie Rinkle, MPA, CHRI, explains the importance of accurate revenue code...

CMS proposes expedited coverage pathway for new medical technologies

Wed, 07/05/2023
Revenue Integrity Insider
Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a coverage pathway to achieve expedited and more predictable access to new medical technologies for Medicare beneficiaries.

NAHRI announces Peer Recognition Program nominees

Wed, 06/28/2023
Revenue Integrity Insider
Revenue Integrity

As part of 2023 Revenue Integrity Week (June 5-9), NAHRI opened nominations to its Peer Recognition Program to recognize revenue integrity professionals for their contributions to the field and for the ways in which they have helped their peers. Learn more about the nominees.

Pages