Revenue Integrity Insider - Volume 0, Issue 0

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tuesday, July 30, 2019
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, moving forward with year two of the site-neutral payment policy for clinic visits, while also asking for comments on how to potentially undo its policy...Read More »

Revenue Integrity Insider - Volume 0, Issue 0

CMS postpones implementation of edits related to provider-based services

Wednesday, July 10, 2019
Coding and Documentation

CMS is postponing implementation of systematic validation edits for OPPS providers with multiple service locations until October to allow enough time to analyze collected data.Read More »

NAHRI Journal - Volume 3, Issue 3

Telehealth coverage

Wednesday, July 10, 2019
Billing and Claims, Coding and Documentation, Coverage, Revenue Integrity

Learn about telehealth coverage for specific payers to develop services.Read More »

NAHRI Journal - Volume 3, Issue 3

Finding the revenue integrity value in telehealth

Wednesday, July 10, 2019
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Review telehealth opportunities and pitfalls with an eye on revenue integrity.Read More »

NAHRI Journal - Volume 3, Issue 3

Get ahead of AUC reporting requirements

Wednesday, July 10, 2019
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do now to ensure seamless Appropriate Use Criteria reporting.Read More »

NAHRI Journal - Volume 3, Issue 3

2020 IPPS proposed rule: Putting the pieces together

Wednesday, July 10, 2019
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Put CMS’ proposed changes in perspective to see the bigger picture.Read More »

NAHRI Journal - Volume 3, Issue 3

Download the July 2019 issue of the NAHRI Journal

Wednesday, July 10, 2019
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.Read More »

Revenue Integrity Insider - Volume 0, Issue 0

Final FY 2020 ICD-10-CM changes include hundreds of new tabular instructions

Wednesday, July 3, 2019
Coding and Documentation, News, Revenue Integrity

The CDC has posted the FY 2020 ICD-CM final code changes, and there were no changes to the proposed list of 273 new, 30 revised and 21 invalidated codes that were released in the proposed inpatient hospital prospective payment system rule, April 23.Read More »

Pages