The fourth annual Revenue Integrity Week is almost here. To be held June 7–11, this year’s theme is Discover the Revenue Integrity Universe.Read More »
The fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting...Read More »
CMS released an updated list of Medicare telehealth services while cautioning organizations to pay close attention to telehealth billing rules.Read More »
NAHRI is conducting the 2021 State of the Revenue Integrity Industry Survey and is interested in learning about your revenue integrity experience.Read More »
CMS will begin reprocessing 2019 claims for certain services rendered at excepted off-campus provider-based departments (PBD), the agency announced. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient...Read More »
A federal appeals court on December 29 rejected the hospital industry’s attempt to block CMS’ price transparency rule, effective January 1, that requires hospitals to disclose standard charges, including payer-specific negotiated rates, for 300 services.Read More »