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 »
A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health insurance during the novel coronavirus (COVID-19) pandemic. As a result, healthcare organizations have observed a growing number of uninsured patients and a...Read More »
Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements and have likely received overpayments, according to CMS.Read More »
Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring) and M0243 (intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring)? We set it up as revenue...Read More »
NAHRI’s January 26 Quarterly Call featured important association updates, as well as presentations on the new price transparency requirements and the 2021 OPPS final rule.Read More »
NAHRI is currently accepting applications for its advisory board. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. Read More »
CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for calculating MS-DRG relative weights.Read More »
It’s that time of year when Certification in Healthcare Revenue Integrity (CHRI) credential holders should start thinking about recertification requirements. The CHRI recertification process ensures that credential holders stay up to date on education and regulatory changes relevant to their...Read More »
