The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment and authorization for services that should have been provided, the OIG said.Read More »
The National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium is a great opportunity to learn from and network with peers. There are many interesting and timely topics to be covered. I’m looking forward to...Read More »
By Marilyn Hart Niedzwiecki, MBA, CPA, RN, CPC, COC, CIRCC
NAHRI’s Revenue Integrity Symposium (RIS) will take place this year October 16–17 at the Wigwam Resort in Litchfield, Arizona, outside Phoenix. I think the RIS is a great way to stay up to date on new rules and...Read More »
The session I’m most looking forward to presenting at NAHRI's 2018 Revenue Integrity Symposium is “Next Generation Technologies: Practical Guidance for Success” because I really want to help demystify what appears to be misinformation, miscommunication, and perhaps just an overall lack of...Read More »
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions...Read More »