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 »
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 »
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 »
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 »
Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until April 5, 2021.Read More »
A federal appeals court on December 29 rejected the hospital industry’s attempt to block CMS’ price transparency rule, effective January 1, that requires hospitals to disclose standard charges, including payer-specific negotiated rates, for 300 services.Read More »
NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the country. But have you considered that RIS can also help hone your professional speaking skills? Read More »
