Revenue Integrity Insider

2025 OPPS proposed rule: Separate payment for radiopharmaceuticals, new obstetrical CoPs in the balance

Wednesday, July 17, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is considering a significant change to how it pays for certain high-cost radiopharmaceuticals, as well as a sweeping new set of Conditions of Participation (CoPs) aimed at maternal health, and a slew of other changes in the 2025 Outpatient Prospective Payment System (OPPS)...Read More »

NAHRI Journal - Volume 8, Issue 3

How to make your resume work for you

Wednesday, July 10, 2024
Program Management, Revenue Integrity

Get your resume into top shape with this expert advice.Read More »

NAHRI Journal - Volume 8, Issue 3

Operational improvement solutions: Dispel myths and work smarter, not harder

Wednesday, July 10, 2024
Program Management, Revenue Integrity

Understand how to implement new tools and strategies to maximize efficiency.Read More »

NAHRI Journal - Volume 8, Issue 3

Finding key opportunities for professional fee revenue integrity

Wednesday, July 10, 2024
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Monitoring and Audits, Program Management, Revenue Integrity

Apply these tips to start or improve revenue integrity programs for physician billing.Read More »

NAHRI Journal - Volume 8, Issue 3

Catching up with behavioral health coding and billing changes

Wednesday, July 10, 2024
Coding and Documentation, Revenue Integrity

Ensure your organization is on the right track for billing and coding behavioral health services.Read More »

NAHRI Journal - Volume 8, Issue 3

Taking the leap into outpatient CDI

Wednesday, July 10, 2024
Coding and Documentation, Revenue Integrity

Learn how to develop and manage an outpatient-focused CDI program.Read More »

NAHRI Journal - Volume 8, Issue 3

2025 IPPS proposed rule: Major changes to outlier payments, NTAP, and more

Wednesday, July 10, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes for 2025 could affect hospitals.Read More »

NAHRI Journal - Volume 8, Issue 3

2025 IPPS proposed rule: MS-DRG and code updates

Wednesday, July 10, 2024
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Catch up on proposed changes to MS-DRGs and reimbursement in the 2025 Inpatient Prospective Payment System (IPPS) proposed rule.Read More »

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