Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved through a preauthorization process, according to a recent Office of Inspector General report.Read More »
In the 2019 OPPS final rule, released Friday, November 2, CMS implemented several site-neutral payment policies, though the agency did delay or shelve other proposals due to stakeholder feedback. Read More »
CMS’ latest payment system changes and the implications for 2019 and beyond made waves on day one of the 2018 Revenue Integrity Symposium in Litchfield Park, Arizona. Attendees at the back-to-back general sessions on October 16 had the opportunity to ask revenue integrity experts questions about...Read More »
It’s nearly time to head back to the National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium, and I couldn’t be more excited. I attended and presented at last year’s symposium and came back with a wealth of information...Read More »
The Revenue Integrity Symposium (RIS) is taking place October 16–17 outside Phoenix, Arizona. Attending events like RIS is important to get information on current issues and trends within the revenue integrity profession. It is also a great...Read More »
It’s been just over one year since NAHRI welcomed its first member and we are now more than 700 members strong. That’s more than 700 driven, dedicated individuals from across the country who have joined forces to ensure the revenue integrity profession is recognized for its unique contributions...Read More »
The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment and authorization for services that should have been provided, the OIG said.Read More »