Reimbursement and Payment Methodologies

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37

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.

Leveraging physician advisors to support accurate revenue

Wed, 05/22/2024

Revenue Integrity Insider

Coding and Documentation, Compliance, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Catherine Pesek Bird, DO, MBA, CHCQM-PHYADV, shares how her session at the 2024 Revenue Integrity Symposium will demonstrate how physician advisors' skills and leadership can help your hospital's bottom line.

Report: Hospitals faced increased expenses, inadequate reimbursement in 2023

Wed, 05/15/2024

Revenue Integrity Insider

Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review how increased labor, drug, and administrative expenses impacted hospitals' ability to provide care in 2023.

NAHRI Quarterly Call - April 30, 2024

Tue, 04/30/2024 - 15:27

Quarterly Calls

Billing and Claims, Coding and Documentation, Coverage, Policies and Procedures, 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...