Revenue Integrity Insider

Preventing denials for CPAP devices and accessories

Wednesday, January 22, 2025
Billing and Claims, Coding and Documentation, Coverage, Denials and Appeals

Review coverage criteria and documentation tips for continuous positive airway pressure (CPAP) devices and accessories.Read More »

NAHRI Journal - Volume 9, Issue 1

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.Read More »

NAHRI Journal - Volume 9, Issue 1

Download the January 2025 issue of the NAHRI Journal

Wednesday, January 15, 2025
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

Prepare for a successful year with NAHRI.Read More »

NAHRI Journal - Volume 9, Issue 1

Preventing revenue leakage through an effective revenue integrity program

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.Read More »

NAHRI Journal - Volume 9, Issue 1

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.Read More »

Revenue Integrity Insider

CMS updates global surgery billing guidance

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

CMS recently updated guidance on Medicare’s global surgery package to provide additional information on transfer of care modifiers and new HCPCS code G0559.Read More »

Revenue Integrity Insider

APCM billing and coding requirements

Wednesday, December 11, 2024
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.Read More »

Revenue Integrity Insider

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wednesday, November 6, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.Read More »

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