Revenue Integrity

With social distancing guidelines still in place and much of the workforce operating remotely, Revenue Integrity Week (June 1‒5) will look much different this year.

We’ll need to be a little more creative in celebrating the incredible hard work, dedication, and achievements of revenue integrity professionals.

CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM code changes. Proposed changes include 490 code additions, 47 revisions, and 58 invalidations, slated to go into effect October 1.

NAHRI’s April 28 Quarterly Call featured in-depth presentations on key performance indicators (KPIs) and billing and coding for telehealth in the age of COVID-19.

NAHRI Director Jaclyn Fitzgerald, CHRI, led off the call with a handful of important announcements, including the introduction of NAHRI Advisory Board members.

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

Our testing partner, PSI, owns and operates a network of more than 1,800 global testing centers. These test sites closed shortly after the outbreak of COVID-19, but beginning Friday, May 1 will begin to reopen.