Revenue Integrity Insider

Price transparency compliance tied to potential of increased penalties

Wednesday, July 12, 2023
Compliance, News, Policies and Procedures, Revenue Integrity

Hospitals have made significant efforts to comply with price transparency regulations due to increased civil monetary penalties from CMS, according to a recent JAMA Network Open study.Read More »

NAHRI Journal - Volume 7, Issue 3

Selecting the right revenue code

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure compliance and protect revenue by making the right revenue code choicesRead More »

NAHRI Journal - Volume 7, Issue 3

Defining medical necessity

Wednesday, July 12, 2023
Coding and Documentation, Compliance, Revenue Integrity

Review requirements for medical necessity and compliant physician orders.Read More »

NAHRI Journal - Volume 7, Issue 3

Design for success: Reviewing chargemaster maintenance and charge capture strategies

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Apply these expert tips to improve chargemaster maintenance and boost charge capture.Read More »

NAHRI Journal - Volume 7, Issue 3

The importance of communication and education

Wednesday, July 12, 2023

Lisa Kanivetsky, CPC, CHRI, reflects on the value of education and communication in revenue integrity departments.Read More »

NAHRI Journal - Volume 7, Issue 3

2024 IPPS proposed rule: CMS signals changes for coding and reimbursement

Wednesday, July 12, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed payment changes could impact hospital reimbursement and revenue integrity workflows.Read More »

NAHRI Journal - Volume 7, Issue 3

Sample utilization review guideline language for payer contracts

Wednesday, July 12, 2023
Payer Contracting, Policies and Procedures, Revenue Integrity

Use this sample language as a guide when developing or reviewing payer contracts.Read More »

Revenue Integrity Insider

CMS proposes expedited coverage pathway for new medical technologies

Wednesday, July 5, 2023
Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a coverage pathway to achieve expedited and more predictable access to new medical technologies for Medicare beneficiaries.Read More »

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