Revenue Integrity Insider

CMS launches Hospital Price Transparency website for hospitals and patients

Wednesday, October 21, 2020
Chargemaster and Charge Capture, Compliance, Revenue Integrity

CMS recently launched a Hospital Price Transparency website to help hospitals prepare to comply with price transparency requirements effective January 1, 2021. Review the latest requirements to ensure your organization is ready to comply and learn about CMS' plans for monitoring and enforcement...Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS and MPFS Q&A

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wednesday, October 14, 2020
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.Read More »

NAHRI Journal - Volume 4, Issue 4

Modifier -CS: Clarity and confusion

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.Read More »

NAHRI Journal - Volume 4, Issue 4

Download the October 2020 issue of the NAHRI Journal

Wednesday, October 14, 2020
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

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wednesday, October 14, 2020
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

Revenue Integrity Insider

AHA: UHC’s new lab test code requirements create unnecessary burden

Wednesday, September 16, 2020
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said in an August 14 letter.Read More »

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