NAHRI is celebrating the sixth annual Revenue Integrity Week (June 5–9) to acknowledge and raise awareness of the invaluable contributions of revenue integrity professionals in the healthcare industry. With the 2023 State of the Revenue Integrity Industry Survey Report, NAHRI is taking an in-...
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.
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.
There are always opportunities to expand use of existing automation tools. Revenue integrity departments need to make informed choices about new areas to automate and be realistic about their ability to commit resources and show a return on investment.
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.
Charge reconciliation is typically the responsibility of the clinical departments that perform the services. EHR configurations and the logistical challenges of centralizing charge reconciliation under revenue integrity at multifacility organizations further support clinical departments owning the function.
