This sample policy for late charge reporting was submitted by 2024 NAHRI Leadership Council member Christie G. Wallen, ARCR, supervisor, revenue integrity, charge integrity at Prisma Health in Greenville, South Carolina.
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential billing process updates, and strategies for managing patient status changes.
Understand CMS' rules for reimbursement for certain dental services under the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).
