Revenue Integrity Insider

CMS publishes January 2025 OPPS update

Wednesday, February 19, 2025
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.Read More »

Revenue Integrity Insider

Q&A: Selecting revenue codes for cardiac CT services

Wednesday, February 12, 2025
Ask NAHRI, Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?Read More »

Revenue Integrity Insider

Reviewing 2025 CDM updates on the January 2025 NAHRI Quarterly Call

Wednesday, February 5, 2025
Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

Read the latest association news and 2025 charge description master (CDM) updates discussed during the most recent NAHRI Quarterly Call. Read More »

NAHRI Journal - Volume 9, Issue 1

Download the January 2025 issue of the NAHRI Journal

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Prepare for a successful year with NAHRI.Read More »

NAHRI Journal - Volume 9, Issue 1

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.Read More »

NAHRI Journal - Volume 9, Issue 1

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.Read More »

Revenue Integrity Insider

APCM billing and coding requirements

Wednesday, December 11, 2024
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.Read More »

Revenue Integrity Insider

MSSP changes in the 2025 MPFS final rule

Wednesday, November 13, 2024
News, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

After publishing the 2025 Medicare Physician Fee Schedule (MPFS) final rule, CMS provided more information on upcoming changes to the Medicare Shared Savings Program (MSSP). Read More »

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