Reimbursement and Payment Methodologies

NAHRI’s October 27 Quarterly Call featured important association updates, an in-depth presentation on optimizing post-COVID-19 reimbursements through a revenue integrity program, and a detailed look at revenue integrity in the age of value-based purchasing and the patient-centered revenue cycle.

COVID-19 patients on mechanical ventilation require intensive care and resources, often for extended periods of time. But gaps in documentation and coding can leave hospitals missing out on earned—and much-needed—revenue and leave crucial holes in patients’ medical records. Use these strategies to ensure appropriate reimbursement for these complex cases.

Put revenue integrity into focus to manage year end changes and ongoing challenges.

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.

Check out these resources for more expert analysis of the 2021 Outpatient Prospective Payment System (OPPS) proposed rule.

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

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

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