The fiscal year 2022 Inpatient Prospective Payment System proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting finalized in the ...Read More »
The fourth annual Revenue Integrity Week is almost just around the corner, and NAHRI is gearing up for a week of peer recognition, networking, and education.Read More »
At my hospital, the function of provider education on coding and documentation rolls up to the revenue integrity department. I am interested in what the structure of education looks like where you work.Read More »
You just got the news: Your organization is starting a major restructure of the revenue cycle. Your supervisor has assured you that although there may be some challenges in the short term, the entire organization will benefit in the long term.Read More »
Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary cost-sharing during office visits and other encounters for the duration of the public health emergency.Read More »
Audit defense is a key strategy to ensure coding and billing compliance and defend earned revenue. Pre-payment audits can be notoriously difficult to manage and track. Payers may shave revenue off a claim at different points using different strategies, leaving hospitals struggling to determine...Read More »
When hospitals or provider entities merge under one system structure, particularly when moving onto a new EMR or practice management system platform, it can be a heavy lift for all parties involved as they work to ensure a successful transition and structure a strong foundation for future growth...Read More »
The demands of the healthcare industry require that professionals become lifelong learners. This is part of the reason why revenue integrity professionals, who are known overachievers in the best sense of the word, are attracted to the field. There is always more to learn and room to grow.Read More »
