Revenue Integrity Insider

OIG to analyze skin substitute payments, incident-to billing, HRAs

Wednesday, November 20, 2024
Monitoring and Audits, News, Revenue Integrity

Review recent additions to the Office of Inspector General's (OIG) Work Plan, which often indicate areas of noncompliance.Read More »

Revenue Integrity Insider

OIG: RPM requires more oversight from CMS

Wednesday, October 16, 2024
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.Read More »

NAHRI Journal - Volume 8, Issue 4

Download the October 2024 issue of the NAHRI Journal

Wednesday, October 2, 2024
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

Set the stage for success and close out the year strong.Read More »

NAHRI Journal - Volume 8, Issue 4

Staying up to date with NCCI edits

Wednesday, October 2, 2024
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent changes and compliance tips for NCCI edits.Read More »

Revenue Integrity Insider

Recent additions to the OIG’s Work Plan

Wednesday, September 4, 2024
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

Revenue integrity professionals should take note of recent additions to the Office of Inspector General’s (OIG) Work Plan.Read More »

Revenue Integrity Insider

OIG determines Medicare improperly paid over $79 million for mechanical ventilation claims

Wednesday, August 21, 2024
Billing and Claims, Coding and Documentation, Monitoring and Audits, News, Revenue Integrity

CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).Read More »

Revenue Integrity Insider

Responding to pre- and post-payment audits

Wednesday, July 24, 2024
Monitoring and Audits, Revenue Integrity

Amy Inch, COTA, CPC, CPMA, discusses how her session at the 2024 Revenue Integrity Symposium will help attendees improve processes for pre- and post-payment audits and protect revenue.Read More »

NAHRI Journal - Volume 8, Issue 3

Download the July 2024 issue of the NAHRI Journal

Wednesday, July 10, 2024
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

Celebrate your journey and acknowledge your success.Read More »

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