Revenue Integrity Insider

CMS will require positive COVID-19 test results for increased inpatient payment

Wednesday, August 19, 2020
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.Read More »

Revenue Integrity Insider

July Quarterly Call features revenue reconciliation, coding tips for COVID-19 claims

Tuesday, August 4, 2020
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s July 28 Quarterly Call featured a jam-packed hour of association updates and informative, detailed presentations on revenue reconciliation and coding tips for novel coronavirus (COVID-19) claims.Read More »

Revenue Integrity Insider

Appeals court upholds CMS’ site-neutral payment policy

Wednesday, July 22, 2020
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

An appeals court ruled that CMS has the authority to implement a controversial site-neutral payment policy. The ruling, delivered July 17, reversed a 2019 district court decision that vacated the policy.Read More »

NAHRI Journal - Volume 4, Issue 3

Download the July 2020 issue of the NAHRI Journal

Wednesday, July 1, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Discover how core revenue integrity strengths can help overcome today’s challenges.Read More »

NAHRI Journal - Volume 4, Issue 3

2021 IPPS proposed rule previews potential overhaul of rate-setting methodology

Wednesday, July 1, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ proposals could transform hospital reimbursement.Read More »

NAHRI Journal - Volume 4, Issue 3

Code updates

Wednesday, July 1, 2020
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review code changes in the fiscal year 2021 Inpatient Prospective Payment System proposed rule.Read More »

NAHRI Journal - Volume 4, Issue 3

Payment changes

Wednesday, July 1, 2020
Reimbursement and Payment Methodologies, Revenue Integrity

Take note of CMS' proposed payment changes in the fiscal year 2021 Inpatient Prospective Payment System proposed rule.Read More »

Revenue Integrity Insider

Q&A: Revenue monitoring

Friday, June 5, 2020
Reimbursement and Payment Methodologies, Revenue Integrity

Q. Nearly 20% of respondents use a vendor-built tool integrated with their EHR to identify revenue leaks. What kind of revenue leakage should revenue integrity aim to identify through the use of this technology?

A. Vendor-built tools can help identify...Read More »

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