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 »
CMS will begin reprocessing 2019 claims for certain services rendered at excepted off-campus provider-based departments (PBD), the agency announced. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient...Read More »
The start of a new year is traditionally a chance to get a fresh perspective—something we’re all looking for. Although we need to hold onto those hard-earned lessons and stay committed to our goals and values, we can start the year by taking a fresh look at these familiar issues and orienting...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 »
Q: I am facing the challenge of starting a revenue integrity program at my organization. What are some of the most important steps for me to take at the beginning of this process?Read More »
