2021 IPPS proposed rule: MS-DRG changes and new requirements to report negotiated charges

Wed, 05/13/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency requirements focused on reporting of negotiated charges.

CMS issues new flexibilities and waivers, permits hospitals to bill for telehealth

Mon, 05/04/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

Join us May 7 for The Revenue Integrity Show

Wed, 04/29/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

The next episode of NAHRI’s new podcast, The Revenue Integrity Show, airs Thursday, May 7, at 3 p.m. Eastern. This episode dives into the impact of COVID-19 on revenue integrity from the perspective of a physician and an operations expert.

Stream the April 2020 Quarterly Call

Wed, 04/29/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

The recording of the April 28 members-only Quarterly Conference Call is now available for streaming.

Creating Transformational Coding and Auditing Practices

Tue, 04/28/2020 - 16:06
White Papers
Billing and Claims, Coding and Documentation, Policies and Procedures, Reimbursement and Payment Methodologies

In a recent National Association of Healthcare Revenue Integrity (NAHRI) survey, 143 coding, compliance, revenue integrity, HIM, and executive leaders from healthcare providers shared their insights on coding and

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NAHRI Quarterly Call - April 28, 2020

Tue, 04/28/2020 - 14:49
Quarterly Calls
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The 2020 calls will take place at the following times:

  • Tues, July 28, 2020 1:00 - 2:00 EDT 
  • Tues, October 27, 2020 1:00 - 2:00 EDT 
  • ...

The Revenue Integrity Show: COVID-19 Billing Implications (April 23, 2020)

Submitted by jfitzgerald@hcp... on Fri, 04/24/2020 - 12:13

The Revenue Integrity Show is a bi-weekly podcast presented by the National Association of Healthcare Revenue Integrity (NAHRI). Streaming live every other Thursday at 3 p.m., a recording of The Revenue Integrity Show is later available via iTunes, Google Play, and Spotify. 

Navigating the boundaries of Medicare telehealth expansion

Thu, 03/26/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.

Three ways COVID-19 is upending the revenue cycle

Tue, 03/24/2020
Revenue Integrity Insider
News, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

The pandemic crisis is disrupting the revenue cycle, including the revenue ramifications of cancelling elective procedures.

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