NAHRI Journal - Volume 7, Issue 3

Case study: Implementing annual CPT code updates

Wednesday, July 12, 2023
Chargemaster and Charge Capture, Coding and Documentation, Policies and Procedures, Program Management, Revenue Integrity

Learn how one organization successfully manages cross-functional processes for annual CPT updates.Read More »

NAHRI Journal - Volume 7, Issue 3

Defining medical necessity

Wednesday, July 12, 2023
Coding and Documentation, Compliance, Revenue Integrity

Review requirements for medical necessity and compliant physician orders.Read More »

NAHRI Journal - Volume 7, Issue 3

Selecting the right revenue code

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choicesRead More »

Revenue Integrity Insider

Dispelling confusion on billing for observation services

Wednesday, June 21, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, discusses strategies for complying with payers' rules for observation services.Read More »

Revenue Integrity Insider

CMS updates FAQ on PHE waivers and flexibilities

Wednesday, May 24, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures, Revenue Integrity

CMS recently updated an FAQ to clarify outpatient therapy and telehealth billing policies after the PHE conclusion.Read More »

Revenue Integrity Insider

CMS releases FAQ on waivers and flexibilities ahead of PHE conclusion

Wednesday, May 10, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures

The COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the expiration timelines for various Medicare waivers and flexibilities.Read More »

Revenue Integrity Insider

Navigating the end of PHE waivers and flexibilities on the April NAHRI Quarterly Call

Wednesday, April 26, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, News, Program Management, Revenue Integrity

NAHRI members learned about the latest association news, tips for managing the unwinding of COVID-19 public health emergency (PHE) waivers, and more on the April 25 NAHRI Quarterly Call.Read More »

Revenue Integrity Insider

AMA approves new COVID-19 vaccine administration code

Wednesday, April 26, 2023
Coding and Documentation, News, Revenue Integrity

The American Medical Association’s (AMA) CPT Editorial Panel recently approved COVID-19 vaccine administration code 0174A.Read More »

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