Revenue Integrity Insider

2022 MPFS proposed rule: Conversion factor cut, telehealth and AUC updates

Wednesday, July 14, 2021
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 4% decrease to the Medicare conversion factor, permanent expansion of telehealth coverage for some mental health services, and new timelines for Appropriate Use Criteria (AUC) reporting, according to the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule.Read More »

NAHRI Journal - Volume 5, Issue 3

Code updates

Wednesday, July 7, 2021
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed code updates from the fiscal year 2022 Inpatient Prospective Payment System proposed rule.Read More »

NAHRI Journal - Volume 5, Issue 3

Keeping tabs on compliance with internal audits and monitoring

Wednesday, July 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Learn how to use regular internal audits and monitoring to boost compliance in revenue integrity areas.Read More »

NAHRI Journal - Volume 5, Issue 3

2022 IPPS proposed rule: CMS hits reset button on MS-DRG changes, offers relief for strained hospitals

Wednesday, July 7, 2021
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed changes could transform hospital reimbursement.Read More »

NAHRI Journal - Volume 5, Issue 3

Download the July 2021 issue of the NAHRI Journal

Wednesday, July 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Reach the next level of revenue integrityRead More »

Revenue Integrity Insider

High-cost novel cell and gene therapies: The time for action is now!

Friday, June 11, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement models.Read More »

Revenue Integrity Insider

CMS removes two codes from prior authorization list

Wednesday, May 19, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.Read More »

Revenue Integrity Insider

Association updates, the revenue integrity value of physician advisors, and wound care coding tips on April’s Quarterly Call

Wednesday, May 12, 2021
Coding and Documentation, Compliance, Denials and Appeals, Program Management, Revenue Integrity

NAHRI’s April 27 Quarterly Call explored the impact of physician advisors on revenue integrity, wound care coding tips, and the latest association updates.Read More »

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