CMS FY 2025 IPPS Final Rule Summary

Tue, 11/05/2024 - 11:33
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Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the federal fiscal year (FFY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. Our government reimbursement experts did the heavy lifting for you and...

Download the October 2024 issue of the NAHRI Journal

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Set the stage for success and close out the year strong.

Different payment policy rationale in different CMS rules raises serious questions

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Jugna Shah, MPH, CHRI, highlights the need for Medicare payment policy changes.

2025 IPPS final rule calls for a TEAM effort

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to ensure your organization is in compliance with CMS’ newest rules.

Putting the 2025 OPPS proposed rule under the microscope

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at major changes in the works for outpatient reimbursement.

New CAR-T codes

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed changes to coding and reimbursement for chimeric antigen receptor T-cell (CAR-T) services.

Navigating the 2025 MPFS proposed rule

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could impact your organization.

MSSP overhaul

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Catch up on potential changes to the Medicare Shared Savings Program (MSSP).

Staying up to date with NCCI edits

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent changes and compliance tips for NCCI edits.

DSH payments: Understanding compliance, payment, and opportunities

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Dig deeper into compliance and reimbursement issues for disproportionate share hospitals.

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