NAHRI Journal - Volume 7, Issue 4

Defining NCCI edits and their role in correct coding

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Consider how to use NCCI edits to improve coding and reduce denials.Read More »

NAHRI Journal - Volume 7, Issue 4

Why clear, modern room rate policies matter

Wednesday, October 4, 2023
Billing and Claims, Chargemaster and Charge Capture, Compliance, Policies and Procedures, Revenue Integrity

Denise Williams, COC, CHRI, explains why clear, modern room rates are important.Read More »

NAHRI Journal - Volume 7, Issue 4

2024 OPPS proposed rule: Price transparency back in the spotlight

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze CMS’ payment proposals for outpatient hospital services.Read More »

NAHRI Journal - Volume 7, Issue 4

Download the October 2023 issue of the NAHRI Journal

Wednesday, October 4, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your connection to inspiration and innovation.Read More »

NAHRI Journal - Volume 7, Issue 4

Alzheimer’s medication approval brings revenue integrity challenges

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.Read More »

Revenue Integrity Insider

Q&A: Billing E/M services for LWBS patients

Wednesday, September 13, 2023
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?Read More »

Revenue Integrity Insider

Q&A: Setting facility charges for LWBS patients in the ED

Wednesday, August 23, 2023
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

Q: If a patient in the emergency department (ED) leaves without being seen (LWBS) by a physician/nonphysician practitioner, should we have facility charges?Read More »

Leadership Council Insider

CMS moves ahead with DSH cuts and other payment changes in 2024 IPPS final rule

Friday, August 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. The...Read More »

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