Revenue Integrity Insider

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wednesday, November 6, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.Read More »

Revenue Integrity Insider

OIG: RPM requires more oversight from CMS

Wednesday, October 16, 2024
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.Read More »

NAHRI Journal - Volume 8, Issue 4

Download the October 2024 issue of the NAHRI Journal

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Set the stage for success and close out the year strong.Read More »

NAHRI Journal - Volume 8, Issue 4

Staying up to date with NCCI edits

Wednesday, October 2, 2024
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent changes and compliance tips for NCCI edits.Read More »

NAHRI Journal - Volume 8, Issue 4

MSSP overhaul

Wednesday, October 2, 2024
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Catch up on potential changes to the Medicare Shared Savings Program (MSSP).Read More »

NAHRI Journal - Volume 8, Issue 4

Putting the 2025 OPPS proposed rule under the microscope

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at major changes in the works for outpatient reimbursement.Read More »

NAHRI Journal - Volume 8, Issue 4

2025 IPPS final rule calls for a TEAM effort

Wednesday, October 2, 2024
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to ensure your organization is in compliance with CMS’ newest rules.Read More »

NAHRI Journal - Volume 8, Issue 4

DSH payments: Understanding compliance, payment, and opportunities

Wednesday, October 2, 2024
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Dig deeper into compliance and reimbursement issues for disproportionate share hospitals.Read More »

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