Revenue Integrity

Six questions healthcare organizations should consider as they explore pre-bill revenue integrity technology that will drive positive and sustainable improvements.

Less than a year after CMS finalized the three-year phaseout of the inpatient-only (IPO) list to be completed by 2024, the agency is looking to reverse course, according to the 2022 OPPS proposed rule, released Monday, July 19.

CMS is proposing a 4% decrease to the Medicare conversion factor, permanent expansion of telehealth coverage for some mental health services, and new timelines for Appropriate Use Criteria (AUC) reporting, according to the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule.

Q: What’s one of the most important pieces of information you would like people to take away from your session?

Malm: Charge capture continues to be one of the single most concerning tasks facing all facilities. As we move from charge to cost, the inability to capture charges completely will make the data required for the move to cost more challenging.

Although job descriptions and postings are generally handled by human resources, managers can still partner with that department to ensure that they’re communicating the right message. With just a few adjustments, you can reach a deeper pool of people who are perfect for the job.

Balance billing for emergency services and certain other services will be subject to new limitations, according to an interim final rule with comment period released July 1 by HHS.

Reach the next level of revenue integrity