Federal price transparency regulations are forging ahead with the help of state-level reinforcements like Colorado’s HB 22-1285. The act prohibits a hospital from collecting a patient’s debt if their charges were acquired on a date when the hospital was noncompliant with the CMS price transparency requirements.
Q: How do we to handle charges for donor-related services when the donor is an unsuccessful match? Should the charges for services provided to a potential donor who is an unsuccessful match also be included on the transplant recipient claim or should they be adjusted and just included on the cost report?
NAHRI's Revenue Integrity Salary Survey offers critical data on salary and staffing trends. Respondents can also opt in to win a free webinar, but time is running out. The survey and the drawing close August 8.
Planning the next steps in your career or for your revenue department can be challenging—especially now. Understand industrywide trends and make data-informed decisions to set standards and expectations for staffing and compensation.
Spending your education budget wisely is more important than ever but figuring out how to get the most value for your money is tricky. Get a sneak peek at what you can expect at the Revenue Integrity Symposium and save on the cost of your registration.
CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement in the wake of the Supreme Court’s decision, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule.
In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds shared key insights into their custom edit processes, including workflow locations, oversight hierarchy, and the leading factors that drive custom edits.
