While physician advisors (PA) and revenue integrity staff have separate roles and responsibilities, they share many of the same goals, says Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV, system medical director of utilization management at ChristianaCare in Newark, Delaware....Read More »
The NAHRI Leadership Council is conducting a research survey on charge reconciliation policies and workflows. Your feedback is greatly appreciated. You can complete the brief survey at https://www.surveymonkey.com/r/MNYTKR9.
The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.Read More »
CMS recently provided Method II critical access hospitals (CAH) with updated billing requirements for professional emergency services performed in the emergency department.Read More »
CMS updated guidance for Federally Qualified Health Centers (FQHC) to reflect new payment rates, coding changes, and other policy updates in the calendar year 2026 Medicare Physician Fee Schedule final rule.Read More »
