CMS’ rules for inpatient admission can leave providers questioning when it’s appropriate to admit a patient presenting with an uncomplicated myocardial infarction.Read More »
Clinical research studies can offer enormous benefits for patients and provider organizations. But managing charges and submitting claims for clinical research can throw a curveball at revenue integrity teams. Without efficient charge and edit management processes, revenue integrity could find...Read More »
More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives during our second members-only quarterly call on April 24.Read More »
CMS released the fiscal year (FY) 2019 IPPS proposed rule on Tuesday, April 24, with an overhaul of the Meaningful Use program and significant reductions to reporting requirements for quality initiatives, along with updates to payment rates.Read More »
Q: Over the last few weeks, there have been quite a few articles in various newsletters about device credits. I’m not sure we have the best process in place to identify recalls and under-warranty replacements so I took a look. In the first account I reviewed, I found an item from a St. Jude...Read More »
Audits are a check-up for revenue integrity. Skipping a regular audit, like skipping an annual exam, can lead to larger, more costly problems down the line—and a lack of proper auditing and remediation in one department can easily spread problems to related departments.Read More »