Revenue Integrity Insider

CMS releases provider-specific fact sheets on PHE waivers

Wednesday, February 22, 2023
Compliance, News, Policies and Procedures

CMS released guidance to help providers transition out of the COVID-19 public health emergency (PHE), which is expected to end on May 11.Read More »

Revenue Integrity Insider

Majority of hospitals remain noncompliant with price transparency requirements

Wednesday, February 15, 2023
Compliance, Monitoring and Audits, News, Policies and Procedures

Over three-quarters of hospitals remain noncompliant with federal price transparency regulations, according to a PatientRightsAdvocate.org report.Read More »

Revenue Integrity Insider

CMS releases guidance on REH enrollment, conversion

Wednesday, February 8, 2023
News, Policies and Procedures

CMS released guidance and FAQs on the enrollment and conversion process for the newest Medicare provider type, rural emergency hospitals (REH).Read More »

Revenue Integrity Insider

White House intends to end PHE on May 11

Wednesday, February 1, 2023
Coverage, News, Policies and Procedures, Revenue Integrity

The Biden administration announced its intention to extend the COVID-19 public health emergency (PHE) until May 11 and end it on that date. Read More »

Leadership Council Insider

Planning for the end of PHE waivers

Friday, January 20, 2023
Billing and Claims, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

As we start 2023, one of the biggest questions is the fate of the COVID-19 public health emergency declaration (PHE).Read More »

NAHRI Journal - Volume 7, Issue 1

Refresh and reset: New approaches to charge reconciliation

Wednesday, January 18, 2023
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

Consider new ways to improve charge reconciliation processes and avoid errors.Read More »

NAHRI Journal - Volume 7, Issue 1

Download the January 2023 issue of the NAHRI Journal

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

Revenue Integrity Insider

CMS proposes rule to streamline prior authorization

Wednesday, December 14, 2022
Compliance, Denials and Appeals, News, Policies and Procedures

CMS released a proposed rule on December 6 to promote transparency, efficiency, and automation in prior authorization processes. Certain requirements in the proposed rule are also intended to improve data accessibility for patients, providers, and payers.Read More »

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