December 3, 2018
News & Insights

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

November 26, 2018
News & Insights

CMS announced that it achieved improper payment rate reductions in 2018 in Medicare Fee-For-Service (FFS), Medicare Part C, Medicare Part D, Medicaid, and Children’s Health Insurance Program. Notably, the fiscal year (FY) Medicare FFS improper payment rate is at 8%, which is the lowest it has been since 2010.

November 19, 2018
News & Insights

Q: What is the difference between the two types of Remittance Advice Remark Codes (RARC)?

November 14, 2018
HIM Briefings

Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.

October 22, 2018
News & Insights

Q: How can we develop clear duties and metrics for our denial management and avoidance programs?

October 10, 2018
News & Insights

By Tracey A. Tomak, PMP, RHIA

It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium, and I couldn’t be more excited. I attended and presented at last year’s symposium and came back with a wealth of information to share with my colleagues.

October 3, 2018
News & Insights

By Ralph Wuebker, MD, MBA

The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as well as overall payer trends is critical in this time. The National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium is one of the best conferences for unbiased education on essential healthcare revenue cycle and revenue integrity topics.

October 17, 2018
HIM Briefings

Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.

October 1, 2018
News & Insights

Q: How can coding and patient financial services staff work together to create an effective claims edit team?

September 26, 2018
News & Insights

By Alicia Kutzer, Esq., LLM, MHA

It is critical for providers and any person who is involved with healthcare revenue integrity to stay as current as possible or risk losing out on opportunities to ensure proper and full payment of millions of dollars’ worth of billed and/or billable claims, and the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium can help professionals do just that.

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