Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Caroline Znaniec, MBA, MS-HCA, CRIP, analyzes the impact of 2024 updates to hospital price transparency regulations.

Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Kay Larsen, BS, CHRI, share tips on maintaining the chargemaster, charge capture strategies for common ancillary services, and more.

Joe O'Malley and Caroline Znaniec, MBA, MS-HCA, CRIP, discuss how to use metrics and data to clearly define revenue integrity program goals, create strategies, improve processes, develop staffing model, and more.

Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, and Jennifer Campbell, CMPE, CPC, CPB, discuss how rural health clinic (RHC) and critical access hospital (CAH) may charge for telehealth services, what documentation is necessary, and more.

Kimberly A. Hoy, JD, CPC, covers the ins and outs of the prior authorization program for hospital outpatient services.

Jerilyn Morrissey, MD, clears up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers.

Camille Ruiz, RHIA, analyzes CMS’ latest changes that affect the chargemaster and share best practices for comprehensive chargemaster maintenance, including implementation strategies, updating policies and workflows, and conducting testing to spot operational errors.

Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, CCDS-O, reviews newly reportable E/M codes, guideline changes, add-on codes, and deleted and revised codes.

 Robin Linker, CHCRA, CHCA, CHCAS, CPC-I, CPC, COC, CPC-P, MCS-P, CHC, and NAHRI Advisory Board member Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, review the proper application of commonly reported evaluation and management and procedural service modifiers.

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