Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements and have likely received overpayments, according to CMS.Read More »
Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring) and M0243 (intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring)? We set it up as revenue...Read More »
NAHRI’s January 26 Quarterly Call featured important association updates, as well as presentations on the new price transparency requirements and the 2021 OPPS final rule.Read More »
NAHRI is currently accepting applications for its advisory board. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. Read More »
CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for calculating MS-DRG relative weights.Read More »
It’s that time of year when Certification in Healthcare Revenue Integrity (CHRI) credential holders should start thinking about recertification requirements. The CHRI recertification process ensures that credential holders stay up to date on education and regulatory changes relevant to their...Read More »
CMS will begin reprocessing 2019 claims for certain services rendered at excepted off-campus provider-based departments (PBD), the agency announced. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient...Read More »
