Revenue Integrity Insider

HHS releases PHE transition roadmap

Wednesday, March 8, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.Read More »

Revenue Integrity Insider

CMS publishes FAQ on modifiers -JW and -JZ

Wednesday, March 1, 2023
Billing and Claims, News, Policies and Procedures

CMS recently published an FAQ to address the products, providers, and billing practices associated with drug waste modifiers -JW and -JZ.Read More »

Leadership Council Insider

Planning for the end of PHE waivers

Friday, January 20, 2023
Billing and Claims, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

As we start 2023, one of the biggest questions is the fate of the COVID-19 public health emergency declaration (PHE).Read More »

NAHRI Journal - Volume 7, Issue 1

Preparing for the end of PHE waivers and facility E/M changes

Wednesday, January 18, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, shares tips for preparing for the end of emergency waivers.Read More »

NAHRI Journal - Volume 7, Issue 1

Download the January 2023 issue of the NAHRI Journal

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

NAHRI Journal - Volume 7, Issue 1

No Surprises Act: Good in theory, difficult in practice

Wednesday, January 18, 2023
Billing and Claims, Compliance, Revenue Integrity

Brush up on hospital compliance requirements with surprise billing rules.Read More »

NAHRI Journal - Volume 7, Issue 1

Weighing gains and losses in the 2023 OPPS final rule

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.Read More »

NAHRI Journal - Volume 7, Issue 1

Unlocking key changes in the 2023 MPFS final rule

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.Read More »

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