CMS released a statement and detailed its plan of action following the recent cyberattack on UnitedHealth Group’s subsidiary Change Healthcare.Read More »
Payers and providers initiated nearly 300,000 disputes through the federal independent dispute resolution (IDR) portal in the first half of 2023, according to a recent report.Read More »
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential...Read More »
CMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health counselors (MHC).Read More »
It is crucial for revenue integrity programs to ensure modifier 25 (significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of a procedure or other service) is appended appropriately, but many...Read More »
One of the benefits of NAHRI Leadership Council membership includes access to the Council’s exclusive library of resources including an archive of education presentations and meetings, reports, sample forms and job descriptions, and more.
Recent additions to the Council’s resource library...Read More »
NAHRI members received association updates and insights on recent Medicare Advantage regulatory changes during the January 2024 NAHRI Quarterly Call.Read More »
