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

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 »

Revenue Integrity Insider

CMS releases OPPS, NCCI updates

Wednesday, September 25, 2024
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent updates to the Outpatient Prospective Payment System (OPPS) and National Correct Coding Initiative (NCCI) edit files.Read More »

Leadership Council Insider

Advocating for change in the 2025 OPPS proposed rule

Friday, September 20, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, News, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI submitted comments to CMS on several key aspects of the calendar year (CY) 2025

...Read More »
Revenue Integrity Insider

CMS updates COVID-19 vaccine prices for 2024-2025 season

Wednesday, September 18, 2024
Billing and Claims, Coding and Documentation, News, Revenue Integrity

CMS recently updated prices for certain Novavax, Pfizer-BioNTech, and Moderna COVID-19 vaccines for the 2024-2025 season.Read More »

Revenue Integrity Insider

NAHRI’s comments to CMS on the 2025 OPPS proposed rule

Wednesday, September 11, 2024
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI submitted comments to CMS on several key aspects of the calendar year (CY) 2025 Outpatient Prospective Payment System (OPPS) proposed rule.Read More »

Revenue Integrity Insider

Recent additions to the OIG’s Work Plan

Wednesday, September 4, 2024
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

Revenue integrity professionals should take note of recent additions to the Office of Inspector General’s (OIG) Work Plan.Read More »

Revenue Integrity Insider

OIG determines Medicare improperly paid over $79 million for mechanical ventilation claims

Wednesday, August 21, 2024
Billing and Claims, Coding and Documentation, Monitoring and Audits, News, Revenue Integrity

CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).Read More »

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