Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

Fri, 06/02/2023 - 16:35
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Jerilyn Morrissey, MD, clears up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers.

Solve Chargemaster Maintenance and Update Challenges

Fri, 06/02/2023 - 16:32
Webinars
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

Camille Ruiz, RHIA, analyzes CMS’ latest changes that affect the chargemaster and share best practices for comprehensive chargemaster maintenance, including implementation strategies, updating policies and workflows, and conducting testing to spot operational errors.

CMS updates FAQ on PHE waivers and flexibilities

Wed, 05/24/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures, Revenue Integrity

CMS recently updated an FAQ to clarify outpatient therapy and telehealth billing policies after the PHE conclusion.

CMS releases FAQ on waivers and flexibilities ahead of PHE conclusion

Wed, 05/10/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, News, Policies and Procedures

The COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the expiration timelines for various Medicare waivers and flexibilities.

CMS releases hospital price transparency enforcement update

Wed, 05/03/2023
Revenue Integrity Insider
Compliance, Monitoring and Audits, News, Policies and Procedures, Revenue Integrity

CMS released a fact sheet on its updated enforcement processes for the Hospital Price Transparency rule. 

NAHRI Quarterly Call - April 25, 2023

Tue, 04/25/2023 - 15:22
Quarterly Calls
Billing and Claims, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

Download the April 2023 issue of the NAHRI Journal

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Map a course to revenue integrity success.

Refresh and reset: Tips for interdepartmental denials resolution

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Apply these tips to improve your organization’s denial management program.

Significant Medicare PHE extensions and adjustments

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services in hospitals, CAHs, RHCs, FQHCs, and physician services.

Significant Medicare PHE extensions and adjustments: Physician services

Wed, 04/12/2023 - 09:31
Policies & Procedures
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services for physician services.

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