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.

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 2021

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.

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.

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.

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.

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.

Sample query for COVID-19

Wed, 10/14/2020 - 10:35
Policies & Procedures
Coding and Documentation, Revenue Integrity

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

Sample query form for sepsis

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

Use this sample physician query form for documenting sepsis as a template for your organization.

Sample query form for sepsis

Wed, 10/14/2020 - 10:30
Policies & Procedures
Coding and Documentation, Revenue Integrity

Use this sample physician query form for documenting sepsis as a template for your organization.

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