CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement, according to a final rule released November 2. The final rule keeps most of the provisions of the proposed rule intact with only a few adjustments based on commenter feedback.Read More »
HHS released a proposed rule on October 27 regarding the federal independent dispute resolution (IDR) process for the No Surprises Act. The rule focuses on early communication between payers and providers, the open negotiation period, batching, eligibility, administrative fee structure, and...Read More »
The Office of Inspector General (OIG) recently conducted an audit to determine the financial impacts of expanding CMS’ hospital transfer policy for discharges to post-acute care to include all MS-DRGs.Read More »
CMS recently updated the national payment allowance and provided billing instructions for the new Novavax COVID-19 vaccine, authorized for patients 12 years and older.Read More »
CMS recently revised its instructions for new place of service (POS) code 27, which is used to report services provided to unsheltered homeless individuals.Read More »
Revenue integrity experts, we’re looking for you! NAHRI is currently accepting applications to present at the 2024 Revenue Integrity Symposium (RIS), to be held September 12–13 in Oak Brook, Illinois.Read More »
We are announcing that NAHRI and our parent company HCPro have been acquired from Simplify Compliance by AHIMA. While we see great synergies with AHIMA’s mission, HCPro, and its associated brands including NAHRI, will operate as a wholly owned subsidiary and will remain committed to serving as...Read More »
