Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements...Read More »
A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned...Read More »
NAHRI is currently seeking speakers to present at the 2019 Revenue Integrity Symposium (RIS), to be...Read More »
Q: Considering the 2019 IPPS final rule requirement that hospitals post a list of their standard charges online, is it your interpretation that...Read More »
CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding...Read More »
On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on...Read More »
Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (...Read More »
Ease the EHR transition and prevent revenue loss by working with IT and revenue cycle leaders to create reporting solutions.Read More »
This sample action plan can be adapted to help you implement a revenue integrity department or function at your organization.
Use this sample outline to create a business proposal for establishing a dedicated revenue integrity department/function at your organization.