2025 IPPS proposed rule: Social determinants of health flagged as CCs

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing to upgrade certain codes describing social determinants of health to better capture the effect of housing instability on beneficiaries, according to the fiscal year 2025 Inpatient Prospective Payment System (IPPS) proposed rule.

2025 IPPS proposed rule: Extra payment for essential medicine reserves

Wed, 07/10/2024
NAHRI Journal - Volume 8, Issue 3
Reimbursement and Payment Methodologies, Revenue Integrity

CMS is considering offering certain organizations additional payment for maintain a stock of essential medicines.

CHOPD payments to end on July 12

Tue, 06/18/2024
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

Part A providers and Part B suppliers have until July 12 to apply for Change Healthcare/Optum Payment Disruption (CHOPD) accelerated and advance payments.

Unpack the 2024 OPPS Final Rule

Fri, 06/07/2024 - 09:48
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, discuss the impact of CMS' changes in the 2024 Outpatient Prospective Payment System (OPPS) final rule.

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37
Webinars
Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Implementing 2024 Hospital Price Transparency Requirements

Wed, 06/05/2024 - 10:18
Webinars
Chargemaster and Charge Capture, Compliance, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Caroline Znaniec, MBA, MS-HCA, CRIP, analyzes the impact of 2024 updates to hospital price transparency regulations.

Gain insight into revenue integrity trends

Wed, 06/05/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get deep insights and analysis of the latest revenue integrity trends, chargemaster maintenance strategies, setting program priorities, and more during NAHRI’s free 2024 State of the Revenue Integrity Industry webinar today, June 5, 1–2 p.m. Eastern.

Leveraging physician advisors to support accurate revenue

Wed, 05/22/2024
Revenue Integrity Insider
Coding and Documentation, Compliance, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Catherine Pesek Bird, DO, MBA, CHCQM-PHYADV, shares how her session at the 2024 Revenue Integrity Symposium will demonstrate how physician advisors' skills and leadership can help your hospital's bottom line.

Report: Hospitals faced increased expenses, inadequate reimbursement in 2023

Wed, 05/15/2024
Revenue Integrity Insider
Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review how increased labor, drug, and administrative expenses impacted hospitals' ability to provide care in 2023.

NAHRI Quarterly Call - April 30, 2024

Tue, 04/30/2024 - 15:27
Quarterly Calls
Billing and Claims, Coding and Documentation, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

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