NAHRI Journal - Volume 7, Issue 3

2024 IPPS proposed rule: CMS signals changes for coding and reimbursement

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed payment changes could impact hospital reimbursement and revenue integrity workflows.Read More »

Revenue Integrity Insider

Price transparency compliance tied to potential of increased penalties

Wednesday, July 12, 2023
Compliance, News, Policies and Procedures, Revenue Integrity

Hospitals have made significant efforts to comply with price transparency regulations due to increased civil monetary penalties from CMS, according to a recent JAMA Network Open study.Read More »

NAHRI Journal - Volume 7, Issue 3

Download the July 2023 issue of the NAHRI Journal

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Strengthen your revenue integrity team.Read More »

NAHRI Journal - Volume 7, Issue 3

Selecting the right revenue code

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choicesRead More »

Revenue Integrity Insider

Senators request stakeholder feedback on 340B drug pricing program

Wednesday, June 28, 2023
Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

A group of senators recently sent a letter to stakeholders to seek input on improving the 340B drug pricing program.Read More »

Revenue Integrity Insider

Dispelling confusion on billing for observation services

Wednesday, June 21, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, discusses strategies for complying with payers' rules for observation services.Read More »

Revenue Integrity Insider

CMS updates FAQ on PHE waivers and flexibilities

Wednesday, May 24, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures, Revenue Integrity

CMS recently updated an FAQ to clarify outpatient therapy and telehealth billing policies after the PHE conclusion.Read More »

Revenue Integrity Insider

CMS releases FAQ on waivers and flexibilities ahead of PHE conclusion

Wednesday, May 10, 2023
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures

The COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the expiration timelines for various Medicare waivers and flexibilities.Read More »

Pages