Your chance to speak at the 2021 Revenue Integrity Symposium

Fri, 12/11/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s Revenue Integrity Symposium is a fantastic way to network with and learn from revenue integrity professionals from across the country. But...Read More »

NAHRI Leadership Council Meeting (12-10-20)

Thu, 12/10/2020 - 10:10
Council Resources
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

This meeting features a presentation from the revenue integrity team at WakeMed Health and Hospitals in North Carolina as well as Council updates. 

2021 OPPS final rule starts the clock on inpatient-only elimination, adds services to prior authorization list

Wed, 12/09/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed...Read More »

2021 MPFS final rule expands telehealth services, finalizes E/M documentation changes

Wed, 12/09/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 Medicare Physician Fee Schedule (MPFS) final rule, released December 2, extends certain telehealth benefits but makes cuts to the...Read More »

NAHRI Pacific Northwest Regional Chapter Inaugural Meeting

Tue, 12/08/2020 - 10:19
Webinars
Chargemaster and Charge Capture, Revenue Integrity

The NAHRI Pacific Northwest Regional Chapter hosted its inaugural meeting on December 4. The meeting featured a chapter introduction, as well as presentations on price transparency strategies and CDM management.

UHC lab test code requirement delayed

Wed, 12/02/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, News, Revenue Integrity

United Healthcare (UHC) recently announced that it is delaying the implementation date of its unique laboratory code policy. The policy, which was...Read More »

CMS to allow authorized hospitals to provide inpatient care in patients’ homes

Wed, 12/02/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coverage, News, Revenue Integrity

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital...Read More »

CMS releases HCPCS codes for new COVID-19 antibody drug

Wed, 11/25/2020
Revenue Integrity Insider
Coding and Documentation, Revenue Integrity

CMS recently announced coding and payment information for the administration of the COVID-19 monoclonal antibody product, bamlanivimab.Read More »

Register for the Hospital Price Transparency Medicare Learning Network webcast

Wed, 11/25/2020
Revenue Integrity Insider
Revenue Integrity

CMS will hold a webcast on Tuesday, December 8 from 2–3 p.m. Eastern to help organizations prepare to comply with the upcoming price transparency...Read More »

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