Preparing to comply with CMS’ Hospital Price Transparency final rule was no mean feat for revenue integrity professionals, and an already significant lift was made heavier by the COVID-19 pandemic. Learn how one organization used teamwork to adapt to changes in plan and meet their goals.Read More »
Q: Can you tell me if your facility charges a triage charge for the ED? If a patient comes in and gets triaged, has vitals taken, protocol for labs, and then leaves, do you charge a Level 1 Triage for this or write everything off? Also, do you charge a suture fee if the patents comes in to ED...Read More »
Q: Our system has a new vendor that is helping with charge capture. We were discussing surgery level charges and a comment was made about rounding that surprised me: We don't have to follow rounding rules to select the additional 15 minutes after the first hour. The vendor acknowledged that...Read More »
On the latest episode of The Revenue Integrity Show: A NAHRI Podcast, listeners were treated to in-depth discussions on two of the hottest topics in the industry — updates to the inpatient-only list and price transparency.Read More »
Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary cost-sharing during office visits and other encounters for the duration of the public health emergency.Read More »
The demands of the healthcare industry require that professionals become lifelong learners. This is part of the reason why revenue integrity professionals, who are known overachievers in the best sense of the word, are attracted to the field. There is always more to learn and room to grow.Read More »
When hospitals or provider entities merge under one system structure, particularly when moving onto a new EMR or practice management system platform, it can be a heavy lift for all parties involved as they work to ensure a successful transition and structure a strong foundation for future growth...Read More »
A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health insurance during the novel coronavirus (COVID-19) pandemic. As a result, healthcare organizations have observed a growing number of uninsured patients and a...Read More »
