Revenue Integrity Insider

CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wednesday, March 12, 2025
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.Read More »

Revenue Integrity Insider

Preventing denials for CPAP devices and accessories

Wednesday, January 22, 2025
Billing and Claims, Coding and Documentation, Coverage, Denials and Appeals

Review coverage criteria and documentation tips for continuous positive airway pressure (CPAP) devices and accessories.Read More »

NAHRI Journal - Volume 9, Issue 1

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.Read More »

NAHRI Journal - Volume 9, Issue 1

Download the January 2025 issue of the NAHRI Journal

Wednesday, January 15, 2025
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

Prepare for a successful year with NAHRI.Read More »

NAHRI Journal - Volume 9, Issue 1

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wednesday, January 15, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.Read More »

Revenue Integrity Insider

CMS addresses improper payment rates for immunosuppressive drugs

Wednesday, January 8, 2025
Coding and Documentation, Coverage, News, Revenue Integrity

Following the release of 2023 improper payment rate data for immunosuppressive drugs, CMS recommends that organizations brush up on compliance tips.Read More »

Revenue Integrity Insider

CMS issues 2026 MA and Part D proposed rule

Wednesday, December 4, 2024
Coverage, News, Policies and Procedures, Revenue Integrity

Review CMS' proposed policy and technical changes to Medicare Advantage (MA) and Part D programs for 2026.Read More »

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 »

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