Articles

Revenue Integrity Insider

2022 MPFS proposed rule: Conversion factor cut, telehealth and AUC updates

Wednesday, July 14, 2021
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 4% decrease to the Medicare conversion factor, permanent expansion of telehealth coverage for some mental health services, and new timelines for Appropriate Use Criteria (AUC) reporting, according to the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule.Read More »

NAHRI Journal - Volume 5, Issue 3

Download the July 2021 issue of the NAHRI Journal

Wednesday, July 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Reach the next level of revenue integrityRead More »

NAHRI Journal - Volume 5, Issue 3

Revenue Integrity Week recap

Wednesday, July 7, 2021
Program Management, Revenue Integrity

Learn how revenue integrity professionals across the nation celebrated Revenue Integrity Week.Read More »

NAHRI Journal - Volume 5, Issue 3

Growing your revenue integrity program

Wednesday, July 7, 2021
Program Management, Revenue Integrity

Christian S. Gabriel shares strategies for growing your revenue integrity program.Read More »

NAHRI Journal - Volume 5, Issue 3

2022 IPPS proposed rule: CMS hits reset button on MS-DRG changes, offers relief for strained hospitals

Wednesday, July 7, 2021
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed changes could transform hospital reimbursement.Read More »

NAHRI Journal - Volume 5, Issue 3

Code updates

Wednesday, July 7, 2021
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed code updates from the fiscal year 2022 Inpatient Prospective Payment System proposed rule.Read More »

NAHRI Journal - Volume 5, Issue 3

Medicare prior authorization: Understanding and applying CMS updates

Wednesday, July 7, 2021
Billing and Claims, Compliance, Coverage, Revenue Integrity

Brush up on the most recent changes to Medicare’s prior authorization requirements and their operational impact.Read More »

NAHRI Journal - Volume 5, Issue 3

Connecting the dots: Revenue integrity and utilization review

Wednesday, July 7, 2021
Billing and Claims, Compliance, Program Management, Revenue Integrity

Consider how revenue integrity and utilization review teams can work together to meet shared goals.Read More »

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