Download the July 2024 issue of the NAHRI Journal

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
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

Celebrate your journey and acknowledge your success.

2025 IPPS proposed rule: Major changes to outlier payments, NTAP, and more

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes for 2025 could affect hospitals.

2025 IPPS proposed rule: MS-DRG and code updates

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Catch up on proposed changes to MS-DRGs and reimbursement in the 2025 Inpatient Prospective Payment System (IPPS) proposed rule.

2025 IPPS proposed rule: Social determinants of health flagged as CCs

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing to upgrade certain codes describing social determinants of health to better capture the effect of housing instability on beneficiaries, according to the fiscal year 2025 Inpatient Prospective Payment System (IPPS) proposed rule.

2025 IPPS proposed rule: Extra payment for essential medicine reserves

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Reimbursement and Payment Methodologies, Revenue Integrity

CMS is considering offering certain organizations additional payment for maintain a stock of essential medicines.

CHOPD payments to end on July 12

Tue, 06/18/2024
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

Part A providers and Part B suppliers have until July 12 to apply for Change Healthcare/Optum Payment Disruption (CHOPD) accelerated and advance payments.

Unpack the 2024 OPPS Final Rule

Fri, 06/07/2024 - 09:48
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, discuss the impact of CMS' changes in the 2024 Outpatient Prospective Payment System (OPPS) final rule.

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37
Webinars
Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Implementing 2024 Hospital Price Transparency Requirements

Wed, 06/05/2024 - 10:18
Webinars
Chargemaster and Charge Capture, Compliance, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Caroline Znaniec, MBA, MS-HCA, CRIP, analyzes the impact of 2024 updates to hospital price transparency regulations.

Gain insight into revenue integrity trends

Wed, 06/05/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.

Pages