2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.

2021 OPPS and MPFS Q&A

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.

Modifier -CS: Clarity and confusion

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.

Note from the director: NAHRI Virtual Event wrap-up

Wed, 10/14/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s three-day virtual educational and networking event, Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event, wrapped up last week and offered helpful tips for revenue integrity professionals looking to expand their knowledge base and professional circle.

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wed, 10/07/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

Note from the director: Countdown to A NAHRI Virtual Event

Wed, 09/23/2020
Revenue Integrity Insider
Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

We are less than two weeks out from Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event and the NAHRI team is gearing up for three days of education and excitement with some of our favorite people.

CMS will require positive COVID-19 test results for increased inpatient payment

Wed, 08/19/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

Note from the Director: NAHRI to host virtual revenue integrity event

Wed, 08/19/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

High-level continued learning and engaged networking with peers are critical to revenue integrity professionals as healthcare regulations transform each year. We are excited to announce we will host Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event from October 6‒8, 2020, to ensure revenue integrity professionals have access to the focused education and innovative networking they have come to expect from NAHRI.

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