CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule.Read More »
CMS has resumed testing of the activation of systematic validation edits for outpatient providers with multiple service locations. After postponing testing during the public health emergency, the agency conducted a fifth round of tests in May and revealed it is moving forward with the full...Read More »
CMS released compliance tips for pre-entitlement billing in a recent edition of its MLN Connects® newsletter. The agency instructed providers to use these billing instructions for inpatient admissions when the patient is admitted before their Medicare Part A entitlement date and...Read More »
Most revenue integrity professionals have seen gains in salary over the past year but some are also seeing a decline in essential benefits such as health coverage, according to the preliminary results of NAHRI’s 2023 Revenue Integrity Salary Survey.Read More »
An important part of chargemaster maintenance is incorporating Current Procedural Terminology (CPT®) code updates. The revenue integrity department at Northside Hospital in Atlanta, Georgia, is primarily responsible for implementing these updates, according to Connie White,...Read More »
CMS is proposing a 3.4% reduction to the Medicare Part B conversion factor in the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule. The agency is also floating expanded telehealth and dental coverage among numerous other changes.Read More »
