Revenue Integrity

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody detection. 

High-level continued learning and engaged networking with peers are critical to revenue integrity professionals as healthcare regulations transform each year. We are excited to announce we will host Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event from October 6‒8, 2020, to ensure revenue integrity professionals have access to the focused education and innovative networking they have come to expect from NAHRI.

CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.

NAHRI members can tap into a wide variety of resources for education and networking, including detailed analysis and expert advice in the quarterly NAHRI Journal. Learn more about this benefit, how to access it, and how you can contribute.

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before.