Wound care: Protecting revenue takes a team approach

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.Read More »

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

OPPS resources

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Reimbursement and Payment Methodologies, Revenue Integrity

Check out these resources for more expert analysis of the 2021 Outpatient Prospective Payment System (OPPS) proposed rule.Read More »

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

Review proposed 2021 CPT changes

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Revenue Integrity

Ensure you're aware of proposed CPT® changes for 2021Read More »

2021 OPPS and MPFS Q&A

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.Read More »

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.Read More »

Modifier -CS: Clarity and confusion

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.Read More »

Good defense: Manage denial and audit activity with strong coding and documentation

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Use these tips to shore up coding and documentation for COVID-19 claims.Read More »

Sample query for COVID-19

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Revenue Integrity

Adapt this sample query for COVID-19 to your particular programmatic needs.Read More »

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