Revenue Integrity Insider

CMS releases interoperability and prior authorization final rule

Wednesday, January 24, 2024
Billing and Claims, News, Revenue Integrity

CMS recently released a final rule to improve interoperability and streamline prior authorization processes for medical items and services.Read More »

Revenue Integrity Insider

CMS releases billing requirements for new condition code 92

Wednesday, January 17, 2024
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released billing requirements for new condition code 92, which identifies claims for Intensive Outpatient Program services and became effective on January 1.Read More »

NAHRI Journal - Volume 8, Issue 1

Get a clear look at the 2024 OPPS final rule

Wednesday, January 10, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes to outpatient hospital reimbursement and compliance will affect your organization.Read More »

NAHRI Journal - Volume 8, Issue 1

Unlock CMS’ 2024 MPFS final rule

Wednesday, January 10, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand CMS’ key changes to physician payments and new compliance requirements for 2024.Read More »

NAHRI Journal - Volume 8, Issue 1

Download the January 2024 issue of the NAHRI Journal

Wednesday, January 10, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Refocus on your goals and progress.Read More »

NAHRI Journal - Volume 8, Issue 1

Understanding billing and coverage requirements for dental services under the OPPS and MPFS

Wednesday, January 10, 2024
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Understand CMS' rules for reimbursement for certain dental services under the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).Read More »

Revenue Integrity Insider

CMS grants transitional pass-through payment status for HCPCS code C1827

Wednesday, November 29, 2023
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently granted transitional pass-through payment status for Healthcare Common Procedure Coding System (HCPCS) code C1827, when used in combination with Current Procedural Terminology (CPT©) code 64568, for all dates of service starting January 1, 2023.Read More »

Leadership Council Insider

Learn how to deploy, manage, and optimize AI and advanced technologies in revenue integrity

Friday, November 17, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Advanced technologies, such as AI, machine learning, and robotic process automation, are transforming revenue integrity.Read More »

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