Burnout isn’t a new problem, but in the wake of the COVID-19 pandemic it may have become more prevalent and harder to address. Learn how to spot warning signs and use simple tactics to reduce burnout.
NAHRI is holding our annual Revenue Integrity Leadership Exchange September 20–21 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona. Members of the NAHRI Leadership Council have priority access to secure an invitation to this exclusive event.
Dealing with denied claims is an inherent part of healthcare billing. Although having a plan to address denied claims is a high priority, implementing a plan to reduce the number of denials is just as important. Doing more work up front in the healthcare billing process reduces the amount of re-work needed on the back end.
Most revenue integrity departments are tasked with supporting accurate and consistent charge reconciliation. Homegrown or third-party technology and automation help accomplish this at many organizations, but some revenue integrity departments lean on manual processes to vet charge reconciliation accuracy.
Q: We are experiencing post-payment audits that result in denials of inpatient claims. Our coders and CDI leaders are vehement that the patient meets MCG and/or coding guidelines, but the payer is using clinical results from the patient as their justification. It seems as if they are ignoring all established guidelines. If these are inappropriate denials, how do we fight them?
The American Medical Association recently announced three new CPT codes for administration of Pfizer’s COVID-19 vaccine in children 6 months to under 5 years old.
With thousands of Medicare patients discharged to post-acute care facilities annually, hospitals need to identify claims that failed to transfer under Medicare’s Post-Acute Care Transfer rules....
