Successful integration of practices comes down to partnerships

Thu, 02/18/2021
Leadership Council Insider
NAHRI Leadership Council, Program Management, Revenue Integrity

When hospitals or provider entities merge under one system structure, particularly when moving onto a new EMR or practice management system...Read More »

Key strategies to better manage your self-pay accounts

Wed, 02/17/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health...Read More »

Q&A: Determining revenue code for COVID-19 monoclonal antibody infusion

Wed, 02/10/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration...Read More »

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021
Revenue Integrity Insider
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet...Read More »

Price transparency, elimination of inpatient-only list take centerstage at January Quarterly Call

Wed, 02/03/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

NAHRI’s January 26 Quarterly Call featured important association updates, as well as presentations on the new price transparency requirements and...Read More »

Note from the director: Call for NAHRI board members

Wed, 02/03/2021
Revenue Integrity Insider
Revenue Integrity

NAHRI is currently accepting applications for its advisory board. Taking an active role in NAHRI can set you on the path to shape the future of...Read More »

CMS Price Transparency: Where Will We Go From Here? (January 28, 2021)

Submitted by jfitzgerald@hcp... on Thu, 01/28/2021 - 16:01

Topic:

  • CMS Price Transparency: Where Will We Go From Here?

Guests:

  • John D. Settlemyer, MBA, MHA, CPC, CHRI, Associate VP Revenue Cycle, Atrium Health
  • Angela Lynne Simmons, CPA, VP Revenue and Reimbursement, Vanderbilt University Medical Center
  • Grace Upleger, MBA, PMP, CPHIMS, Director, Patient Financial Services, Vanderbilt University Medical Center in Nashville

NAHRI Quarterly Call -- January 26, 2021

Tue, 01/26/2021 - 15:33
Quarterly Calls
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 calls will take place at the following dates and times:

  • Tues, April 27, 2021 1:00 - 2:00 EDT
  • Tues, July 27, 2021 1:00 - 2:00 EDT
  • Tues, October 26, 2021 1:00 - 2:00 EDT

CMS publishes FAQs on market-based MS-DRG data collection

Wed, 01/27/2021
Revenue Integrity Insider
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for...Read More »

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