Payers and providers initiated nearly 300,000 disputes through the federal independent dispute resolution (IDR) portal in the first half of 2023, according to a recent report.
CMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health counselors (MHC).
CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential billing process updates, and strategies for managing patient status changes.
This sample job description for a revenue integrity auditor I was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S.,CPC, CEMC, CHRI, CRCR, revenue integrity supervisor at Confluence Health in East Wenatchee, Washington.
This sample job description for a revenue integrity analyst III was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S.,CPC, CEMC, CHRI, CRCR, revenue integrity supervisor at Confluence Health in East Wenatchee, Washington.
This sample job description for a revenue integrity analyst I was submitted by 2024 NAHRI Leadership Council member Brittanie Smiddy, A.S.,CPC, CEMC, CHRI, CRCR, revenue integrity supervisor at Confluence Health in East Wenatchee, Washington.
Do you have a colleague who always comes through, supports the team with a positive attitude, or who has grown professionally? Celebrate them and their achievements through NAHRI’s Peer Recognition Program!
Q: How do you bill operating room (OR), anesthesia, and recovery time for cosmetic and medically necessary procedures performed during the same encounter?
