CMS publishes January 2025 OPPS update

Wed, 02/19/2025
Revenue Integrity Insider
Coding and Documentation, News, Reimbursement and Payment Methodologies

CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.

Q&A: Selecting revenue codes for cardiac CT services

Wed, 02/12/2025
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?

Reviewing 2025 CDM updates on the January 2025 NAHRI Quarterly Call

Wed, 02/05/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

Read the latest association news and 2025 charge description master (CDM) updates discussed during the most recent NAHRI Quarterly Call. 

NAHRI Quarterly Call - January 28, 2025

Tue, 01/28/2025 - 15:19
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to a NAHRI Quarterly 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 January 2025 issue of the NAHRI Journal

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Prepare for a successful year with NAHRI.

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

APCM billing and coding requirements

Wed, 12/11/2024
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.

MSSP changes in the 2025 MPFS final rule

Wed, 11/13/2024
Revenue Integrity Insider
News, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

After publishing the 2025 Medicare Physician Fee Schedule (MPFS) final rule, CMS provided more information on upcoming changes to the Medicare Shared Savings Program (MSSP). 

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wed, 11/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

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