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 »
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 »
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 »
This has been a year like none other. We’ve faced incredible challenges and tragedies and hospitals in particular will be navigating the lingering effects for some time. As we approach the new year, it’s time to consider what we’ve accomplished this year.Read More »
CMS announced December 18 that it will begin auditing hospitals for compliance with the Hospital Price Transparency final rule in January 2021.Read More »
The 2020 calendar year was certainly challenging for revenue integrity professionals, as the novel coronavirus (COVID-19) pandemic stressed the workforce, necessitated new working environments, and led to frequent regulatory updates. Through case studies, news, and analysis in the weekly Revenue...Read More »
