Preparing for the end of PHE waivers and facility E/M changes

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, shares tips for preparing for the end of emergency waivers.

Weighing gains and losses in the 2023 OPPS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.

Unlocking key changes in the 2023 MPFS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.

Refresh and reset: New approaches to charge reconciliation

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Chargemaster and Charge Capture, Policies and Procedures, Program Management, Revenue Integrity

Consider new ways to improve charge reconciliation processes and avoid errors.

Understanding automation in revenue integrity

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Take a closer look at opportunities to deploy automation and improve processes.

No Surprises Act: Good in theory, difficult in practice

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Compliance, Revenue Integrity

Brush up on hospital compliance requirements with surprise billing rules.

Selecting the right principal diagnosis

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Coding and Documentation, Compliance, Revenue Integrity

Apply these tips to resolve questions on principal diagnosis assignment.

New CPT codes approved for bivalent COVID-19 vaccines for young children

Wed, 01/11/2023
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

The American Medical Association (AMA) released four new Current Procedural Terminology (CPT®) codes for bivalent COVID-19 vaccines for young children.

Advocacy in Action: Commenting on Proposed Rules

Wed, 01/04/2023 - 17:07
White Papers
Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

 In this position paper, the NAHRI Advisory Board breaks down the steps involved in writing and submitting comments on proposed rules and policy changes and discusses why this activity is essential for revenue integrity professionals.

Q&A: Billing for pre- or postsurgical pain control blocks

Wed, 01/04/2023
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: If an anesthesiologist performs a presurgical or postsurgical block for pain control and it is performed in a holding area rather than in the operating room (OR), can we bill a separate facility (technical) fee for that? Or would this be bundled with OR services?

Pages