Q: I was on a conference call with the CDM coordinators within my health system and we got involved in a lively discussion. If there's no medical necessity for observation, what do you do with charges? Our departments get productivity based on the charges posted. We all agreed that the observation charges shouldn't be billed to the insurance but had different opinions on how it should be handled.
The 2019 Revenue Integrity Symposium agenda has been released. A truly unique experience, this conference offers a wide range of exciting sessions on critical revenue integrity topics and the opportunity to learn from and network with trusted industry experts and revenue cycle professionals of all varieties.
Revenue integrity professionals wishing to earn support from program administrators to attend the 2019 Revenue Integrity Symposium may adapt the attached proposal.
On April 30, NAHRI presented its second members-only quarterly call of 2019, where members heard from revenue integrity experts on charge error correction and observation, as well as received some updates on what’s new at NAHRI.
If you know a fellow NAHRI member who has gone above and beyond in their role—be it a promotion, great idea, or helping hand—we want to help you give them a shout out during Revenue Integrity Week (June 3-7).
CMS’ fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule, released April 23, includes a proposed increase to hospital payment rates, annual ICD-10-CM/PCS code update proposals, and significant changes to complication or comorbidity (CC)/major complication or comorbidity (MCC) and Medicare-Severity Diagnosis-Related Group (MS-DRG) designations.
