Revenue Integrity Insider

OIG: RPM requires more oversight from CMS

Wednesday, October 16, 2024
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.Read More »

Revenue Integrity Insider

CMS issues PrEP NCD

Wednesday, October 9, 2024
Billing and Claims, Coding and Documentation, Coverage, News

CMS recently issued a final national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV in high-risk individuals.Read More »

NAHRI Journal - Volume 8, Issue 4

Navigating the 2025 MPFS proposed rule

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could impact your organization.Read More »

Revenue Integrity Insider

CMS issues revenue code fix for cardiac CT services

Wednesday, October 2, 2024
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

After receiving responses to a recent request for information, CMS issued a revenue code fix for cardiac CT services.Read More »

NAHRI Journal - Volume 8, Issue 4

Different payment policy rationale in different CMS rules raises serious questions

Wednesday, October 2, 2024
Billing and Claims, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Jugna Shah, MPH, CHRI, highlights the need for Medicare payment policy changes.Read More »

NAHRI Journal - Volume 8, Issue 4

2025 IPPS final rule calls for a TEAM effort

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to ensure your organization is in compliance with CMS’ newest rules.Read More »

NAHRI Journal - Volume 8, Issue 4

Download the October 2024 issue of the NAHRI Journal

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Set the stage for success and close out the year strong.Read More »

NAHRI Journal - Volume 8, Issue 4

New CAR-T codes

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed changes to coding and reimbursement for chimeric antigen receptor T-cell (CAR-T) services.Read More »

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