Planning is underway for the Fifth Annual Revenue Integrity Symposium, and this is one event you won’t want to miss taking an active role in. This year, we gather October 6–7, 2020, in Westminster (Denver), Colorado. RIS is NAHRI’s national conference—your chance to gather with likeminded...Read More »
Several Medicare claims for trastuzumab multi-dose vials billed over the last three years failed to comply with Medicare requirements in part due to the improper application of modifier -JW (drug amount discarded/not administered to any patient), according to a study reported in the January 2020...Read More »
The American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) recently filed a lawsuit against the Department of Health and Human Services (HHS) for continuing to reduce payments for hospital outpatient services provided in grandfathered, off-campus provider-...Read More »
IT support is a crucial part of a charge error correction process. Learn how one revenue integrity department took a team approach with IT to find success.Read More »
The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would require insurers to provide personalized price estimates and publish negotiated in-network rates and historical payment information.Read More »