Revenue Integrity Insider

Line item removal of cardiac implants: Revenue integrity’s next challenge

Wednesday, June 9, 2021
Billing and Claims, Chargemaster and Charge Capture, Compliance, Coverage, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue integrity.Read More »

Revenue Integrity Insider

Q&A: 2022 IPPS proposed rule

Tuesday, May 25, 2021
Billing and Claims, Reimbursement and Payment Methodologies

The following is an excerpt from the May 20 episode of The Revenue Integrity Show: A NAHRI Podcast in which we covered the 2022 IPPS proposed rule with guest Jugna Shah, MPH, CHRI, President, Nimitt Consulting Inc., in Spicer, Minnesota.Read More »

Revenue Integrity Insider

CMS removes two codes from prior authorization list

Wednesday, May 19, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.Read More »

Revenue Integrity Insider

CMS updates telehealth list, cautions organization to pay attention to billing rules

Wednesday, April 21, 2021
Billing and Claims, Coding and Documentation, Coverage, News, Revenue Integrity

CMS released an updated list of Medicare telehealth services while cautioning organizations to pay close attention to telehealth billing rules.Read More »

Revenue Integrity Insider

Revenue integrity tips for 2021

Wednesday, April 14, 2021
Billing and Claims, Reimbursement and Payment Methodologies

Much like other areas of healthcare, the world of revenue integrity has undergone quite a bit of change over the past year. On the March 11 episode of The Revenue Integrity...Read More »

Revenue Integrity Insider

Using CMS and NAHRI resources to address charge denials

Wednesday, April 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »

NAHRI Journal - Volume 5, Issue 2

Download the April 2021 issue of the NAHRI Journal

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

Explore the revenue integrity universe.Read More »

NAHRI Journal - Volume 5, Issue 2

The influence of revenue integrity

Tuesday, April 6, 2021
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, looks at recent regulatory changes that fall under revenue integrity’s influence.Read More »

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