The guidelines are effective October 1 and highlights include new instructions for reporting manifestations of novel coronavirus (COVID-19), vaping, and social determinants of health among other changes.Read More »
A federal judge dismissed the American Hospital Association’s challenge to CMS' Hospital Price Transparency Requirements final rule. The final rule, effective January 1, 2021, will require hospitals to disclose charges they privately negotiate with commercial payers, among other requirements.Read More »
NAHRI has made the difficult decision to cancel our fifth annual Revenue Integrity Symposium, originally scheduled to take place October 6–7 at the Westin Westminster Hotel, Westminster, Colorado, due to the ongoing COVID-19 pandemic. While we looked forward to seeing familiar faces and...Read More »
CMS released new guidance and clarification on the use of modifier -CR (catastrophe/disaster related) and condition code DR (disaster related) in various scenarios.Read More »
Revenue Integrity Week is in the books! We hope you enjoyed your own Revenue Integrity Investigations throughout the week. If not, it’s never too late to get your team together for one of the many Revenue Integrity Week activities...Read More »
CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM code changes. Proposed changes include 490 code additions, 47 revisions, and 58 invalidations, slated to go into effect October 1.Read More »
CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency requirements focused on reporting of negotiated charges.Read More »
CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.Read More »
