Payers and providers initiated nearly 300,000 disputes through the federal independent dispute resolution (IDR) portal in the first half of 2023, according to a recent report.Read More »
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential...Read More »
CMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health counselors (MHC).Read More »
Do you have a colleague who always comes through, supports the team with a positive attitude, or who has grown professionally? Celebrate them and their achievements through NAHRI’s Peer Recognition Program!Read More »
NAHRI members received association updates and insights on recent Medicare Advantage regulatory changes during the January 2024 NAHRI Quarterly Call.Read More »
Q: How do you bill operating room (OR), anesthesia, and recovery time for cosmetic and medically necessary procedures performed during the same encounter?Read More »
The revenue integrity community needs you! NAHRI is conducting the 2024 State of the Revenue Integrity Industry Survey, and we need revenue integrity professionals across the country and representing diverse backgrounds and experiences to weigh in.Read More »
CMS recently outlined new billing, coding, and plan of care requirements for Intensive Outpatient Program (IOP) services for Federally Qualified Health Centers (FQHC) and rural health clinics (RHC).Read More »