Revenue Integrity Insider

CMS raises some COVID-19 vaccine payments as HHS issues reminder of billing rules

Wednesday, June 16, 2021
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

CMS boosted Medicare payment for COVID-19 vaccines administered in the patient’s home to $75 per dose, the agency announced June 9. Prior to June 9, Medicare paid $40 per dose for COVID-19 vaccines administered in the patient’s home.Read More »

Revenue Integrity Insider

High-cost novel cell and gene therapies: The time for action is now!

Friday, June 11, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement models.Read More »

Revenue Integrity Insider

Line item removal of cardiac implants: Revenue integrity’s next challenge

Wednesday, June 9, 2021
Billing and Claims, Chargemaster and Charge Capture, Compliance, Coverage, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue integrity.Read More »

Revenue Integrity Insider

CMS removes two codes from prior authorization list

Wednesday, May 19, 2021
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.Read More »

Revenue Integrity Insider

CMS updates telehealth list, cautions organization to pay attention to billing rules

Wednesday, April 21, 2021
Billing and Claims, Coding and Documentation, Coverage, News, Revenue Integrity

CMS released an updated list of Medicare telehealth services while cautioning organizations to pay close attention to telehealth billing rules.Read More »

NAHRI Journal - Volume 5, Issue 1

Download the January 2021 issue of the NAHRI Journal

Wednesday, January 13, 2021
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Get a fresh perspective on revenue integrity for the new year.Read More »

NAHRI Journal - Volume 5, Issue 1

Navigating PHE telehealth changes and Hospitals Without Walls

Wednesday, January 13, 2021
Billing and Claims, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Christian S. Gabriel breaks down CMS’ expanded coverage for hospital outpatient telehealth.Read More »

NAHRI Journal - Volume 5, Issue 1

2021 MPFS final rule: Charting a new path for E/M and telehealth

Wednesday, January 13, 2021
Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at the revenue integrity impact of CMS’ changes to telehealth and E/M.Read More »

Pages