Getting a clear view of hospital price transparency

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Experts offer perspective and advice on responding to CMS’ price transparency requirements.Read More »

Defend revenue integrity with compliance investigations

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Compliance, Monitoring and Audits, Revenue Integrity

Learn how to use compliance investigations and audits to protect revenue integrity.Read More »

Successful strategies to appeal denials for AKI and ATN

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Coding and Documentation, Denials and Appeals, Revenue Integrity

Put these practices into place to overcome clinical validation denials for these services.Read More »

2019 MPFS: Review and refresh your processes

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.Read More »

Site-neutral payment policies move ahead in 2019 OPPS final rule

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how payment policy changes, C-APC changes, and more will impact your organization.Read More »

Crunching numbers: Calculating revenue integrity staffing needs

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Policies and Procedures, Program Management, Revenue Integrity

Use these tips and guidelines to determine your revenue integrity staffing needs.Read More »

A director of revenue integrity shares his experience learning the full revenue cycle

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Chargemaster and Charge Capture, Program Management, Revenue Integrity

Get to know Bruce Preston, CPC.Read More »

Federal judge halts 340B drug payment cuts

Wed, 01/02/2019
Revenue Integrity Insider - Volume 3 Issue 1
News, Reimbursement and Payment Methodologies, Revenue Integrity

Hospital stakeholders "immeasurably pleased" with the court's "carefully reasoned decision."  HHS says the ruling could harm funding for other...Read More »

AHA: Hospitals may publish revenue codes included in the list of standard charges

Wed, 12/19/2018
Revenue Integrity Insider - Volume 2 Issue 31
Chargemaster and Charge Capture, Compliance, News, Revenue Integrity

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements...Read More »

Medicare Advantage proposed rule earns praise, criticism from pharmacy groups and patient advocacy organizations

Thu, 12/13/2018
Revenue Integrity Insider - Volume 2 Issue 31
Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned...Read More »

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