Note from the director: Call for NAHRI board members

Wed, 02/03/2021
Revenue Integrity Insider
Revenue Integrity

NAHRI is currently accepting applications for its advisory board. Taking an active role in NAHRI can set you on the path to shape the future of the revenue integrity profession as well as advance your career. 

CMS Price Transparency: Where Will We Go From Here? (January 28, 2021)

Submitted by jfitzgerald@hcp... on Thu, 01/28/2021 - 16:01

Topic:

  • CMS Price Transparency: Where Will We Go From Here?

Guests:

  • John D. Settlemyer, MBA, MHA, CPC, CHRI, Associate VP Revenue Cycle, Atrium Health
  • Angela Lynne Simmons, CPA, VP Revenue and Reimbursement, Vanderbilt University Medical Center
  • Grace Upleger, MBA, PMP, CPHIMS, Director, Patient Financial Services, Vanderbilt University Medical Center in Nashville

NAHRI Quarterly Call -- January 26, 2021

Tue, 01/26/2021 - 15:33
Quarterly Calls
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 calls will take place at the following dates and times:

  • Tues, April 27, 2021 1:00 - 2:00 EDT
  • Tues, July 27, 2021 1:00 - 2:00 EDT
  • Tues, October 26, 2021 1:00 - 2:00 EDT

CMS publishes FAQs on market-based MS-DRG data collection

Wed, 01/27/2021
Revenue Integrity Insider
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for calculating MS-DRG relative weights.

Note from the director: Recertifying your CHRI credential

Tue, 01/26/2021
Revenue Integrity Insider
Ask NAHRI, Revenue Integrity

It’s that time of year when Certification in Healthcare Revenue Integrity (CHRI) credential holders should start thinking about recertification requirements. The CHRI recertification process ensures that credential holders stay up to date on education and regulatory changes relevant to their field. 

NAHRI Leadership Council Meeting - January 22, 2021

Fri, 01/22/2021 - 14:29
Council Resources
NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

CMS to reprocess 2019 claims for certain excepted off-campus provider-based department services at lower payment

Wed, 01/20/2021
Revenue Integrity Insider
Billing and Claims, News, Revenue Integrity

CMS will begin reprocessing 2019 claims for certain services rendered at excepted off-campus provider-based departments (PBD), the agency announced. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient). Starting July 1, CMS will reprocess these claims to pay them at the same rate as non-excepted off-campus PBDs, or 70% of the 2019 Outpatient Prospective Payment System (OPPS) rate.

Note from the associate editor: Looking ahead to NAHRI events in 2021

Wed, 01/20/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Revenue Integrity

It’s a new year, and NAHRI is excited to provide unique educational opportunities throughout 2021.

Your chance to speak at the 2021 Revenue Integrity Symposium

Fri, 01/15/2021
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s Revenue Integrity Symposium (RIS) is a fantastic way to network with and learn from revenue integrity professionals from across the country. But have you considered that RIS can also help hone your professional speaking skills? 

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