NAHRI is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be held October 15–16, 2019, at the Renaissance Orlando at SeaWorld in Orlando, Florida.Read More »
A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.Read More »
Q: Considering the 2019 IPPS final rule requirement that hospitals post a list of their standard charges online, is it your interpretation that the standard chargemaster includes pharmacy and supplies?Read More »
On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.Read More »
CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding methodologies effective January 1.Read More »
Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (15271). My coder says that 11043/11046 is included in 15271 and we can't separately bill for them with 15271. Do we bill 15271 as the size of the...Read More »
NAHRI members tuned in for expert analysis of new and upcoming changes including inpatient admission order requirements, appropriate use criteria, and learned how to apply for the association’s new credential during NAHRI’s October 30 quarterly members-only call.Read More »
