In honor of the due diligence and dedication of revenue integrity professionals, NAHRI is pleased to announce Revenue Integrity Week. This is a national week of recognition for revenue integrity professionals, to be held June 3–9, 2018. Join us in celebrating your profession and your...Read More »
Revenue integrity is an all-hands-on-deck operation at the Los Angeles Jewish Home where the documentation specialist acts as the coder, CDI specialist, and medical records auditor.Read More »
The three main elements of a successful business strategy are people, process and technology. To implement a successful revenue integrity strategy, you must involve stakeholders from relevant departments, reinforced with an organizational commitment to transparency.Read More »
Q: Are outpatient departments considered part of the therapy cap for hospital-owned facilities? If so, do we need to bill with modifier –KX (Type of Bill 012X)? I want to ensure I’m billing correctly.Read More »
Managing charge capture in a multi-hospital system that spans a variety of service lines and charges can prove to be a daunting task both in terms of ensuring claims are accurate and ensuring team members are well versed in each service line and charge type. While some health systems may train...Read More »
Q: Can a hospital bill for orthotic or prosthetic supplies (e.g., leg brace for a patient in the ED or clinic) on the hospital claim? What are the requirements for billing these supplies? Is revenue code 0274 the correct revenue code? Are HCPCS codes needed?Read More »
To close an open encounter, the following ingredients are required: one completed progress note, one chief complaint, a diagnosis, and a physician level of service. Combine all four in EPIC and you're ready to post charges.Read More »
