Revenue Integrity Insider

CMS releases quarterly update to PTP edits and MUEs

Wednesday, April 10, 2019
Coding and Documentation, Revenue Integrity

CMS finalized changes to NCCI Medically Unlikely Edits (MUE) and procedure-to-procedure (PTP) edits in its quarterly update to NCCI edit files, effective April 1.Read More »

Revenue Integrity Insider

Hospital pricing: Key metrics to take the pressure off price alignment

Wednesday, April 10, 2019
Reimbursement and Payment Methodologies, Revenue Integrity

The pressure is on hospitals to set pricing strategies that are competitive without risking revenue. Learn how revenue integrity professionals can help their organizations take a pricing approach that's truly strategic.Read More »

Revenue Integrity Insider

Q&A: Addressing payer diversions in contract language

Wednesday, April 3, 2019
Ask NAHRI, Payer Contracting, Revenue Integrity

Q: What language can we add to our contracts to discourage payers from diverting patients to other hospitals based solely on cost?Read More »

Revenue Integrity Insider

Note from the associate editor: Stay connected, follow NAHRI on social media

Wednesday, April 3, 2019
Revenue Integrity

Social media isn’t just cat videos and memes, it has become a widely used tool in professional settings to share information and even collaborate in real time.Read More »

NAHRI Journal - Volume 3, Issue 2

Understanding Medicare Advantage

Monday, April 1, 2019
Reimbursement and Payment Methodologies, Revenue Integrity

Brush up on the differences between Medicare Advantage and traditional Medicare to understand how it impacts revenue integrity.Read More »

NAHRI Journal - Volume 3, Issue 2

Price transparency: Opportunities and threats

Monday, April 1, 2019
Chargemaster and Charge Capture, Compliance, Program Management, Revenue Integrity

Review the impact of the first months of CMS’ price transparency requirement and look ahead to the next steps.Read More »

NAHRI Journal - Volume 3, Issue 2

Hitting the mark: Defend against IRF audits and denials with coding and documentation improvements

Monday, April 1, 2019
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Use these expert tips to tighten up IRF compliance and avoid costly denials.Read More »

NAHRI Journal - Volume 3, Issue 2

Vet documentation for IRF appeals

Monday, April 1, 2019
Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Experts share insight on how to ensure inpatient rehabilitation facility documentation will stand up to an appeal.Read More »

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