Revenue Integrity Insider

Study: Outpatient visits increasingly billed at higher levels

Wednesday, March 8, 2023
Billing and Claims, Coding and Documentation, News, Revenue Integrity

Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.Read More »

Revenue Integrity Insider

HHS releases PHE transition roadmap

Wednesday, March 8, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.Read More »

NAHRI Journal - Volume 7, Issue 1

Weighing gains and losses in the 2023 OPPS final rule

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.Read More »

NAHRI Journal - Volume 7, Issue 1

Selecting the right principal diagnosis

Wednesday, January 18, 2023
Coding and Documentation, Compliance, Revenue Integrity

Apply these tips to resolve questions on principal diagnosis assignment.Read More »

NAHRI Journal - Volume 7, Issue 1

Unlocking key changes in the 2023 MPFS final rule

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.Read More »

NAHRI Journal - Volume 7, Issue 1

Download the January 2023 issue of the NAHRI Journal

Wednesday, January 18, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

NAHRI Journal - Volume 7, Issue 1

Preparing for the end of PHE waivers and facility E/M changes

Wednesday, January 18, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, shares tips for preparing for the end of emergency waivers.Read More »

Revenue Integrity Insider

New CPT codes approved for bivalent COVID-19 vaccines for young children

Wednesday, January 11, 2023
Coding and Documentation, News, Revenue Integrity

The American Medical Association (AMA) released four new Current Procedural Terminology (CPT®) codes for bivalent COVID-19 vaccines for young children.Read More »

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