Revenue Integrity

The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.

Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?

Prevention is better than a cure, but that’s often easier said than done when it comes to denials. Use these expert tips to develop a denials strategy that puts the focus on data and collaboration.

The new CPT^® codes will become effective if the FDA issues approval or emergency use authorization for Pfizer’s two-dose COVID-19 vaccine in children ages five to 11.

Select members of the NAHRI Advisory Board collaborated in designing NAHRI's Recommended Job Descriptions to help organizations assign roles and responsibilities within revenue integrity
departments.

Hospitals must provide uninsured or self-pay patients with good faith cost estimates for services, according to an interim final rule (IFR) released September 30 implementing provisions of the No Surprises Act.

Scout ahead for revenue integrity opportunities.