CMS releases additional information on 2019 IPPS price transparency requirements

Wed, 12/12/2018
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, News, Revenue Integrity

On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.

Q&A: Billing for wound debridement and skin substitute application

Wed, 11/28/2018
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Revenue Integrity

Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (15271). My coder says that 11043/11046 is included in 15271 and we can't separately bill for them with 15271. Do we bill 15271 as the size of the debridement documented or only the size of the skin substitute?

Bridging the gap: Three steps to integrating EHR reporting for newly acquired facilities

Wed, 11/28/2018
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Program Management, Revenue Integrity

Ease the EHR transition and prevent revenue loss by working with IT and revenue cycle leaders to create reporting solutions.

Sample action plan for implementing a revenue integrity department or function

Wed, 11/21/2018 - 11:42
Policies & Procedures
Program Management, Revenue Integrity

This sample action plan can be adapted to help you implement a revenue integrity department or function at your organization.

Revenue integrity business proposal outline

Wed, 11/21/2018 - 11:17
Policies & Procedures
Program Management, Revenue Integrity

Use this sample outline to create a business proposal for establishing a dedicated revenue integrity department/function at your organization.

Physician Query Form

Wed, 11/21/2018 - 11:13
Policies & Procedures
Coding and Documentation, Policies and Procedures, Revenue Integrity

Use this sample physician query form as a template for your organization.

Query Activity Trending Form

Wed, 11/21/2018 - 11:09
Policies & Procedures
Coding and Documentation, Revenue Integrity

Customize this sample query activity trending form for use at your organization.

Billing and Charge Audit Procedure

Wed, 11/21/2018 - 11:03
Policies & Procedures
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Use this sample billing and charge audit procedure as a template for your organization.

NAHRI leadership and revenue integrity experts share news, analysis, and insight during quarterly call

Wed, 11/14/2018
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Revenue Integrity

NAHRI members tuned in for expert analysis of new and upcoming changes including inpatient admission order requirements, appropriate use criteria, and learned how to apply for the association’s new credential during NAHRI’s October 30 quarterly members-only call.

Note from the director: Call for NAHRI board and committee members

Wed, 11/07/2018
Revenue Integrity Insider
Revenue Integrity

The National Association of Healthcare Revenue Integrity Professionals is currently accepting applications for its board and committees. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. 

 

Pages