Reimbursement and Payment Methodologies

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021

Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21^st Century Cures Act failed to meet...Read More »

NAHRI Quarterly Call -- January 26, 2021

Tue, 01/26/2021 - 15:33

Quarterly Calls

Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 calls will take place at the following dates and times:

Tues, April 27, 2021 1:00 - 2:00 EDT
Tues, July 27, 2021 1:00 - 2:00 EDT
Tues, October 26, 2021 1:00 - 2:00 EDT

CMS publishes FAQs on market-based MS-DRG data collection

Wed, 01/27/2021

Revenue Integrity Insider

Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for...Read More »

Your chance to speak at the 2021 Revenue Integrity Symposium

Fri, 01/15/2021

Leadership Council Insider

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the...Read More »

COVID-19 delays interoperability rules

Fri, 01/15/2021

Leadership Council Insider

Billing and Claims, NAHRI Leadership Council, Reimbursement and Payment Methodologies

Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until...Read More »