Revenue Integrity Insider

2022 OPPS final rule doubles down on price transparency penalties

Wednesday, November 3, 2021
Billing and Claims, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.Read More »

Revenue Integrity Insider

Q&A: Reporting patient supplied drugs

Wednesday, October 27, 2021
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?Read More »

NAHRI Journal - Volume 5, Issue 4

Download the October 2021 issue of the NAHRI Journal

Wednesday, October 6, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Scout ahead for revenue integrity opportunities.Read More »

NAHRI Journal - Volume 5, Issue 4

2022 MPFS proposed rule: Physician reimbursement faces steep cuts, major changes

Wednesday, October 6, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze the potential impact of CMS’ major proposed changes to physician reimbursement.Read More »

NAHRI Journal - Volume 5, Issue 4

2022 OPPS proposed rule: CMS major changes and reversals

Wednesday, October 6, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to regulations and reimbursement could affect your organization.Read More »

Revenue Integrity Insider

Latest surprise billing rule requires cost estimates, outlines arbitration process

Wednesday, October 6, 2021
Billing and Claims, Compliance, News, Revenue Integrity

Hospitals must provide uninsured or self-pay patients with good faith cost estimates for services, according to an interim final rule (IFR) released September 30 implementing provisions of the No Surprises Act.Read More »

NAHRI Journal - Volume 5, Issue 4

Take the surprise out of the No Surprises Act

Wednesday, October 6, 2021
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at the implications and compliance risks of the No Surprises Act.Read More »

NAHRI Journal - Volume 5, Issue 4

2022 IPPS final rule: CMS opts for alternative data collection, finalizes MS-DRG changes

Wednesday, October 6, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is in compliance with CMS’ latest requirements.Read More »

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