Payer enrollment is the cog that kicks off the revenue cycle. Although most revenue cycle renderings indicate client intake is step one in the cycle, the reality is enrollment is the critical first phase. Read More »
Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Let’s take a look at some steps to take and knowledge to have while putting together an appeal. Read More »
The New COVID-19 Treatments Add-on Payment will allow additional Medicare payment for eligible hospital inpatient and outpatient cases that involve certain new products or treatments authorized or approved for COVID-19.Read More »
The American Medical Association (AMA) recently announced a handful of new CPT® codes for reporting COVID-19 vaccine products and immunization administration. The code release includes two vaccine product codes and four vaccine administration codes.Read More »
Q: I have been tasked with implementing a charge capture/revenue integrity program. I would appreciate any suggestions or tips that anyone is willing to share to assist me in beginning this process—where to start, who to include, and how to be successful with this challenge.Read More »
NAHRI’s October 27 Quarterly Call featured important association updates, an in-depth presentation on optimizing post-COVID-19 reimbursements through a revenue integrity program, and a detailed look at revenue integrity in the age of value-based purchasing and the patient-centered revenue cycle...Read More »
The deadline to comply with CMS’ expanded price transparency requirements is almost here. Use these tips to ensure your organization is ready.Read More »
