Revenue Integrity Insider

Everything counts: Ensuring accurate coding and reimbursement for mechanical ventilation

Wednesday, October 14, 2020
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

COVID-19 patients on mechanical ventilation require intensive care and resources, often for extended periods of time. But gaps in documentation and coding can leave hospitals missing out on earned—and much-needed—revenue and leave crucial holes in patients’ medical records. Use these strategies...Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wednesday, October 14, 2020
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

NAHRI Journal - Volume 4, Issue 4

OPPS resources

Wednesday, October 14, 2020
Reimbursement and Payment Methodologies, Revenue Integrity

Check out these resources for more expert analysis of the 2021 Outpatient Prospective Payment System (OPPS) proposed rule.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS and MPFS Q&A

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wednesday, October 14, 2020
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.Read More »

NAHRI Journal - Volume 4, Issue 4

Modifier -CS: Clarity and confusion

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.Read More »

Revenue Integrity Insider

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wednesday, October 7, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.Read More »

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