A successful revenue integrity department depends on more than keeping up with Medicare changes. Revenue integrity’s critical work is done by highly skilled professionals working as a team to support the organization’s success. But keeping staff productive, focused, and happy is a different challenge than staying on top the latest updates.
The NAHRI Code of Conduct is based on core values and ethical principles that professionals can aspire to and use when making a decision or choosing a course of action.
While there are many conferences that touch upon aspects of revenue integrity, RIS is the only one entirely dedicated to the topic. Plus, it is a great way to meet other professionals in the field of revenue integrity who are facing similar challenges and have similar interests.
CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, moving forward with year two of the site-neutral payment policy for clinic visits, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.
Payer contract terms have far-reaching consequences, from the types of services covered and the documentation required to how appeals are negotiated. Learn how revenue integrity can collaborate with physician advisors to monitor and address problems with payer contracts.
The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.
Past Revenue Integrity Symposium attendees and speakers agree: It’s a can’t-miss event for revenue integrity education and networking. The best part? You can take advantage of several ways to save on the cost of attendance, scoring premier education without breaking the budget.
A U.S. Senate bill aimed at protecting patients from surprise medical bills could also save the federal government about $7.5 billion over the next decade, according the Congressional Budget Office (CBO).
Facilities need to know how to respond to documentation requests as part of any Medicare audit or review. Preparing a complete and proper reply makes all the difference in the outcome or results of those audits and reviews.
