Revenue Integrity Insider

CMS releases list of Part B drugs with reduced coinsurance

Wednesday, June 21, 2023
Coverage, News, Policies and Procedures, Revenue Integrity

CMS recently released a list of the 43 Part B drugs and biologicals that will be included in the Medicare Prescription Drug Inflation Rebate Program for July 1–September 30.Read More »

Revenue Integrity Insider

Q&A: Implementing processes for denials management

Friday, June 9, 2023
Denials and Appeals, Policies and Procedures, Revenue Integrity

Q: What processes or systems do you have in place for managing denials?Read More »

Revenue Integrity Insider

Q&A: Assigning responsibility for charge entry

Thursday, June 8, 2023
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

Q: If a clinical department does not enter their own charges, what staff member holds that responsibility?Read More »

Revenue Integrity Insider

Q&A: Collaborating with other departments on chargemaster approvals

Wednesday, June 7, 2023
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

Q: How do you work with other departments when approving requests for changes to the chargemaster?Read More »

Revenue Integrity Insider

CMS updates FAQ on PHE waivers and flexibilities

Wednesday, May 24, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures, Revenue Integrity

CMS recently updated an FAQ to clarify outpatient therapy and telehealth billing policies after the PHE conclusion.Read More »

Revenue Integrity Insider

CMS releases FAQ on waivers and flexibilities ahead of PHE conclusion

Wednesday, May 10, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures

The COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the expiration timelines for various Medicare waivers and flexibilities.Read More »

Revenue Integrity Insider

CMS releases hospital price transparency enforcement update

Wednesday, May 3, 2023
Compliance, Monitoring and Audits, News, Policies and Procedures, Revenue Integrity

CMS released a fact sheet on its updated enforcement processes for the Hospital Price Transparency rule. Read More »

NAHRI Journal - Volume 7, Issue 2

Significant Medicare PHE extensions and adjustments

Wednesday, April 12, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services in hospitals, CAHs, RHCs, FQHCs, and physician services.Read More »

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