Reimbursement and Payment Methodologies

October OPPS quarterly update includes billing and reimbursement changes for drugs

Wed, 09/11/2019

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status...Read More »

HOP panel makes recommendations to CMS, requests response in OPPS final rule

Wed, 08/21/2019

Revenue Integrity Insider

News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS’ Hospital Outpatient Payment (HOP) panel made numerous recommendations at its annual meeting August 19 for the agency to consider ahead of the...Read More »

FY 2020 IPPS final rule addresses rural wage index disparities, expedites new technology processes

Wed, 08/14/2019

Revenue Integrity Insider

News, Reimbursement and Payment Methodologies

CMS released the fiscal year (FY) 2020 IPPS final rule on August 2, increasing inpatient operating payment rates by 3.1%, significantly altering...Read More »

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11

Quarterly Calls

Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Tues, October 29, 2019 1:00 - 2:00 EDT -

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »