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

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 »

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 »

Revenue Integrity Insider

2022 IPPS proposed rule seeks to mitigate impact of COVID-19, walks back MS-DRG overhaul

Wednesday, April 28, 2021
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

The fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting...Read More »

Revenue Integrity Insider

CMS updates telehealth list, cautions organization to pay attention to billing rules

Wednesday, April 21, 2021
Billing and Claims, Coding and Documentation, Coverage, News, Revenue Integrity

CMS released an updated list of Medicare telehealth services while cautioning organizations to pay close attention to telehealth billing rules.Read More »

Revenue Integrity Insider

Using CMS and NAHRI resources to address charge denials

Wednesday, April 7, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »

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