2022 IPPS proposed rule addresses COVID-19 impact, MS-DRG overhaul

Fri, 05/21/2021
Leadership Council Insider
NAHRI Leadership Council, Reimbursement and Payment Methodologies

The fiscal year 2022 Inpatient Prospective Payment System proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting finalized in the 2021 IPPS final rule.

NAHRI Leadership Council Meeting (04-30-21)

Fri, 04/30/2021 - 14:56
Council Resources
Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

2022 IPPS proposed rule seeks to mitigate impact of COVID-19, walks back MS-DRG overhaul

Wed, 04/28/2021
Revenue Integrity Insider
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

The fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting finalized in the 2021 IPPS final rule.

Tackling COVID-19 Vaccination Billing Challenges: A System Approach (April 8, 2021)

Submitted by jfitzgerald@hcp... on Thu, 04/08/2021 - 15:47

Topic: Tackling COVID-19 Vaccination Billing Challenges: A System Approach

Featuring:

  • Melissa Deuel, System Manager, Charge Master, CommonSpirit Health
  • Christian S. Gabriel, National Director of Revenue Integrity, CommonSpirit Health
  • Marie Garcia, System Manager, Revenue Integrity, CommonSpirit Health
  • Kay Larsen, CRCR, CHRI, Revenue Integrity Specialist, Adventist Health Glendale

 

Revenue integrity tips for 2021

Wed, 04/14/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies

Much like other areas of healthcare, the world of revenue integrity has undergone quite a bit of change over the past year. On the March 11 episode of The Revenue Integrity Show: a NAHRI Podcast covered a wide range of topics related to revenue integrity in the era of the novel coronavirus (COVID-19).

Download the April 2021 issue of the NAHRI Journal

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Explore the revenue integrity universe.

The influence of revenue integrity

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, looks at recent regulatory changes that fall under revenue integrity’s influence.

Charting the operational impact of eliminating the IPO

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the far-reaching financial and operational impacts of sunsetting the inpatient-only (IPO) list.

NAHRI Professional Advocacy Committee guidance on vaccine administration

Wed, 03/31/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies

Some providers appear to be struggling with “how” and “whether or not” to bill for COVID-19 vaccine administrations. On March 15, 2021, CMS increased the per-injection reimbursement to $40. CMS has recognized that there is added cost to the administering provider because of the increased resources involved in mass immunizations required to control a pandemic. 

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