Denials and appeals

Admit type continues to present a significant risk across hospital operations, driven by limited formal education and widespread misinterpretation of national standards.

Download the latest batch of National Correct Coding Initiative (NCCI) files to see which edits take effect on April 1.

Q: What are artificial intelligence (AI) hallucinations, and why do they occur?

Analyze recent findings to gain insights into revenue cycle management (RCM) leaders' top risk and readiness concerns for 2026.

Discover how artificial intelligence (AI) hallucinations can undermine compliance, damage credibility, and lead to costly reimbursement losses in appeals. 

Join us on the podium at the 2026 Revenue Integrity Symposium (RIS), to be held September 24-25, 2026, in Savannah, Georgia. The National Association of Healthcare Revenue Integrity (NAHRI) is now accepting proposals to speak at 2026 RIS. The deadline to apply is January 12, 2026.

A recent report from Waystar provides a step-by-step strategic plan to help you achieve clarity in claim management processes

Review pain management diagnosis coding guidelines and selection tips to help your organization prevent denials.

Download a new report to learn how artificial intelligence (AI) innovations are enhancing efficiency, accuracy, and financial performance across the revenue cycle.

Discover how contract managers can leverage their power to modify payers' utilization review requirements during negotiations.