Revenue Integrity Insider

CMS approves additional payment for new COVID-19 treatments, adds price transparency requirements for diagnostic testing

Wednesday, November 18, 2020
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The New COVID-19 Treatments Add-on Payment will allow additional Medicare payment for eligible hospital inpatient and outpatient cases that involve certain new products or treatments authorized or approved for COVID-19.Read More »

Revenue Integrity Insider

CMS provides updated guidance on billing for COVID-19 monoclonal antibody treatments

Wednesday, November 11, 2020
Billing and Claims, News, Revenue Integrity

CMS updated its COVID-19 billing FAQs on October 28 to address billing scenarios for potential monoclonal antibody treatments.Read More »

Revenue Integrity Insider

CMS reminds providers to bundle emergency visit services with critical care

Wednesday, October 28, 2020
Billing and Claims, Coding and Documentation, Revenue Integrity

Physician and non-physician practitioners may benefit from reviewing bundling rules for emergency department visit services billed on the same date as critical care, according to the October 2020 Medicare Quarterly Compliance Newsletter.Read More »

Revenue Integrity Insider

Note from the director: NAHRI Virtual Event wrap-up

Wednesday, October 14, 2020
Billing and Claims, Chargemaster and Charge Capture, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s three-day virtual educational and networking event, Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event, wrapped up last week and offered helpful tips for revenue integrity professionals looking to expand their knowledge base and professional circle.Read More »

NAHRI Journal - Volume 4, Issue 4

Download the October 2020 issue of the NAHRI Journal

Wednesday, October 14, 2020
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

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

NAHRI Journal - Volume 4, Issue 4

Wound care: Protecting revenue takes a team approach

Wednesday, October 14, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wednesday, October 14, 2020
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

Revenue Integrity Insider

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wednesday, October 7, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.Read More »

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