CMS allows modifier -CS for additional telehealth services

Fri, 03/19/2021
Leadership Council Insider
Billing and Claims, Reimbursement and Payment Methodologies

Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary...Read More »

​Updates on the Inpatient-Only List and Price Transparency (February 25, 2021)

Submitted by jfitzgerald@hcp... on Thu, 02/25/2021 - 15:50

Topic: ​Updates on the Inpatient-Only List and Price Transparency

Featuring:

  • Ronald Hirsch, MD, FACP, CHCQM, Vice President, R1 Physician Advisory Services
  • Caroline Znaniec, Managing Director, CohnReznick LLP’s Healthcare Advisory Practice, Baltimore, Maryland

Key strategies to better manage your self-pay accounts

Wed, 02/17/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health...Read More »

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021
Revenue Integrity Insider
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 21st 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 »

Download the January 2021 issue of the NAHRI Journal

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Get a fresh perspective on revenue integrity for the new year.Read More »

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