How to keep up with changing rules and regulations
Editor’s note: Kimberly A. Hoy, JD, CPC, will present “Status Check: Rethinking Patient Status Corrections” on day one and the day two general session “The Beat Never Stops: Keeping Abreast of Ever-Changing Codes and Edits” at the 2025 Revenue Integrity Symposium (RIS), which will take place September 25–26 in Westminster, Colorado. Hoy is the director of Medicare and compliance for HCPro in Chicago, Illinois. Now through June 20, save $100 on registration and through June 13 save an additional 20% with code 20OFFRIS25. Use NAHRI’s justification letter template as a guide to gain your organization’s support for attending. Consider applying for the NAHRI Scholarship, which awards free registration to RIS (the application deadline is June 13).
Q: What’s the biggest challenge in revenue integrity and/or revenue cycle right now? How does your session help tackle this?
Hoy: One of the big challenges in revenue cycle/integrity is keeping abreast of all the changes happening and understanding their implications for an organization. This is especially challenging for Medicare because their resources are difficult to find and understand. In my session “The Beat Never Stops: Keeping Abreast of Everchanging Codes and Edits,” I will review websites and resources to help revenue cycle professionals keep up and get ahead of the many changes coming from Medicare. I’ll show participants how to focus on the important information that will make an impact for their facility.
Q: What’s one of the key pieces of information you would like people to take away from your session?
Hoy: For [the session “The Beat Never Stops: Keeping Abreast of Ever-Changing Codes and Edits”], I’d like people to come away with a better understanding of the IOCE and how to use that information to improve their revenue cycle activities, including keeping their chargemaster up to date and taking advantage of rebilling opportunities. I’m also presenting [“Status Check: Rethinking Patient Status Corrections” ] and I would like attendees [of that session] to come away rethinking their approach to correcting patient status and to stop using condition code 44 as their default method of correction.
Q: What are you most excited about for this year’s conference?
Hoy: I’ve been attending [RIS for years] and I’m excited to see all my revenue integrity friends and catch up on what’s going on with them and within their organizations.
Q: What's a great piece of advice you've received regarding revenue integrity and/or revenue cycle? Or, what advice do you like to give people about revenue integrity and/or revenue cycle?
Hoy: Most revenue integrity issues start with contracts; know what’s in your contracts and hold payers to them.