CMS finalizes 340B remedy plan with one-time payments and cuts to other reimbursement

Wed, 11/08/2023
Revenue Integrity Insider
Billing and Claims, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement, according to a final rule released November 2. The final rule keeps most of the provisions of the proposed rule intact with only a few adjustments based on commenter feedback.

How to launch a pharmacy revenue integrity team

Fri, 10/20/2023
Leadership Council Insider
Chargemaster and Charge Capture, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

by Andrew Wade, CHFP

2023 NAHRI Leadership Council Research Series: Essential Takeaways on Revenue Cycle Automation

Thu, 10/19/2023 - 15:49
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, NAHRI Leadership Council, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

This report details the full year findings of the 2023 NAHRI Leadership Council Research Series. Download today to see the full results!

NAHRI Leadership Council Meeting (10-18-23)

Thu, 10/19/2023 - 13:03
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, NAHRI Leadership Council, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Download the October 2023 issue of the NAHRI Journal

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your connection to inspiration and innovation.

Diving into the 2024 IPPS final rule

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how CMS’ reimbursement and compliance changes for inpatient hospitals could affect your organization.

2024 OPPS proposed rule: Price transparency back in the spotlight

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze CMS’ payment proposals for outpatient hospital services.

2024 MPFS proposed rule: Striking a balance between gains and losses

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.

CMS moves ahead with DSH cuts and other payment changes in 2024 IPPS final rule

Fri, 08/18/2023
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the

2024 IPPS final rule finalizes DSH payments cuts and coding changes

Wed, 08/09/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule.

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