NAHRI Journal - Volume 8, Issue 3

2025 IPPS proposed rule: Major changes to outlier payments, NTAP, and more

Wednesday, July 10, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes for 2025 could affect hospitals.Read More »

NAHRI Journal - Volume 8, Issue 3

2025 IPPS proposed rule: Social determinants of health flagged as CCs

Wednesday, July 10, 2024
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing to upgrade certain codes describing social determinants of health to better capture the effect of housing instability on beneficiaries, according to the fiscal year 2025 Inpatient Prospective Payment System (IPPS) proposed rule.Read More »

Revenue Integrity Insider

CMS updates guidance on Part D vaccines

Wednesday, July 10, 2024
Billing and Claims, Coding and Documentation, Coverage, News

CMS recently updated an MLN Fact Sheet on Medicare Part D vaccines to clarify billing and formulary policies.Read More »

NAHRI Journal - Volume 8, Issue 3

2025 IPPS proposed rule: MS-DRG and code updates

Wednesday, July 10, 2024
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Catch up on proposed changes to MS-DRGs and reimbursement in the 2025 Inpatient Prospective Payment System (IPPS) proposed rule.Read More »

NAHRI Journal - Volume 8, Issue 3

Finding key opportunities for professional fee revenue integrity

Wednesday, July 10, 2024
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Monitoring and Audits, Program Management, Revenue Integrity

Apply these tips to start or improve revenue integrity programs for physician billing.Read More »

Revenue Integrity Insider

Q&A: Documenting intubation and extubation times

Wednesday, July 3, 2024
Coding and Documentation

Q: How do I document the start of mechanical ventilation if a patient is intubated in another emergency department before being transferred to our facility?Read More »

Revenue Integrity Insider

CMS details July 2024 update to skin substitute HCPCS codes

Wednesday, June 26, 2024
Billing and Claims, Coding and Documentation, News, Revenue Integrity

Review changes to skin substitute billing and coding in the July 2024 ambulatory surgical center payment system update.Read More »

Revenue Integrity Insider

Gain insight into revenue integrity trends

Wednesday, June 5, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.Read More »

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