The new guidance covers how payment determinations are made, what information may and may not be used, and the scope of independent dispute resolution entities’ decisions.
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for MS-DRGs, and more.
The agenda for the 2022 Revenue Integrity Symposium (RIS) has been released. The event, to be held September 19–20 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona, will feature two educational tracks covering essential revenue integrity education, updates, and thought leadership.
Show off your skills with the Revenue Integrity Week Scavenger Hunt. The rules are simple. Challenge your peers to see who can find the following items at the fastest pace—this can be done virtually with your team or within your facility. To elevate the stakes, you can award a prize for the highest score within your department.
