When first learning about modifier -25, revenue integrity professionals were likely given an example of a patient in a physician office being evaluated for a minor health issue who asks to be examined for an unrelated problem at the end of the appointment.
CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.Read More »
As hospitals continue to struggle to comply with price transparency requirements, HHS has been tasked with updating guidance and enforcement actions.Read More »
Revenue integrity KPIs and program structure, pharmacy charging, and revenue integrity’s role in price transparency compliance were among the hot topics from the NAHRI Leadership Council’s January 23 meeting....Read More »