MVP and additional updates

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about updates to the MIPS Value Pathways program and additional changes in the 2022 Medicare Physician Fee Schedule proposed rule.Read More »

2022 IPPS final rule: CMS opts for alternative data collection, finalizes MS-DRG changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is in compliance with CMS’ latest requirements.Read More »

Take the surprise out of the No Surprises Act

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at the implications and compliance risks of the No Surprises Act.Read More »

CMS retracts audit determinations for certain provider-based departments

Wed, 09/29/2021
Revenue Integrity Insider
Billing and Claims, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21st...Read More »

CMS revises deadline for reprocessing certain provider-based department claims

Wed, 09/15/2021
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS will begin reprocessing 2019 claims for some services rendered at excepted off-campus provider-based departments. The affected claims are for...Read More »

Payer charge audits: Enhancing room and bed charge SOP for documented processes

Fri, 08/20/2021
Leadership Council Insider
Billing and Claims, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Successfully responding to payer charge audits for services billed above room and bed rate can be a challenge. The Cleveland Clinic contracting,...Read More »

2021 Revenue Integrity Symposium kicks off with expert advice on hot topics and collaborative discussions

Wed, 08/18/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Speakers and registrants shared tips and insights into revenue integrity hot topics on day one of the 2021 Revenue Integrity Symposium, held...Read More »

CMS releases FY 2022 IPPS final rule: MS-DRG overhaul, NTAP/NCTAP updates

Fri, 08/06/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies

CMS released the fiscal year (FY) 2022 IPPS final rule on Monday, August 2, which finalizes its efforts to cushion the ongoing impact of the COVID...Read More »

2022 OPPS proposed rule: CMS increases price transparency penalties, backs off from eliminating inpatient-only list

Wed, 07/21/2021
Revenue Integrity Insider
Billing and Claims, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to...Read More »

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