2020-2021 NAHRI Leadership Council Application

NAHRI Leadership Council Application

The NAHRI Leadership Council is the platform you need to remain on the cutting edge of revenue integrity thought leadership and strategy. The Council offers a deep dive into the daily challenges of revenue integrity leadership by bringing select members of the community together to educate one another and share actionable strategies aimed at improving workflow and securing buy-in from decision-makers.

NAHRI encourages revenue integrity leaders from all backgrounds to apply for the Council. We will review applications in the coming months and accept our most qualified applicants to participate in the first year of Council membership. There is no fee to apply or participate in the Council, but applicants should meet outlined experience guidelines and be willing and able to meet our participation requirements.

For additional information, including application instructions and eligibility and participation requirements, visit nahri.org/nahri-leadership-council.

Question Title

* 1. Which of the following best categorizes your title?

Revenue integrity supervisor

Revenue integrity manager

Revenue integrity director

Vice president of revenue integrity

President of revenue integrity

Revenue cycle supervisor

Revenue cycle manager

Revenue cycle director

Vice president of revenue cycle

President of revenue cycle

CFO

CEO

Consultant

Other (please specify)

Question Title

* 2. Which of the following best describes the setting in which you work?

Acute care hospital

Cancer hospital

Children's hospital

Consulting

Critical access hospital

Freestanding ambulatory surgery center

Health system corporate office

Home health

Inpatient rehabilitation hospital

Long-term care facility

Multi-specialty clinic

Physician practice

Psychiatric/behavioral health hospital

Skilled nursing facility

Other (please specify)

Question Title

* 3. How many sites are part of your facility?

1-2

3-4

5 or more

It is a standalone facility

Question Title

* 4. If you work in a hospital, how many beds does it have?

25 or fewer

26–49

50–99

100–199

200–299

300–399

400–499

500 or more

I don't work in a hospital

Question Title

* 5. What functions is your department primarily responsible for? (Check all that apply.)

Case management

Charge capture

Charge reconciliation

Chart auditing

Chargemaster maintenance

Claim edits

Coding

Clinical documentation integrity

Compliance

Denials management

Decision-support functions

Education

Financial counseling

Health information management

HIPAA privacy/security

Insurance verification

Internal auditing

Patient billing

Patient financial services

Payer contracting

Payment reconciliation

Quality

Registration

Utilization management/review

Question Title

* 6. Please enter your contact information so we can follow up with you on the status of your application.

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Title

Email Address

Phone Number

Question Title

* 1. Which of the following best categorizes your title?

Question Title

* 2. Which of the following best describes the setting in which you work?

Question Title

* 3. How many sites are part of your facility?

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* 4. If you work in a hospital, how many beds does it have?

Question Title

* 5. What functions is your department primarily responsible for? (Check all that apply.)

Question Title

* 6. Please enter your contact information so we can follow up with you on the status of your application.

Question Title

* 7. If you were referred by a current Council member, please add their name here.