Revenue Integrity

Learn how to refine and analyze benchmarks at Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

CMS extended the education and operations testing period for the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging through 2021. The education and operations testing period, which started January 1, 2020, was slated to close at the end of the year. Payment penalties were scheduled to go into effect January 1, 2021.

Q: Is there a national standard for what documentation must be submitted to Medicare Administrative Contractors (MAC) when requesting prior authorization?

In addition to the terrific education and networking opportunities during Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event, NAHRI will offer special discounts on memberships and online boot camps during the three-day event.

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody detection. 

High-level continued learning and engaged networking with peers are critical to revenue integrity professionals as healthcare regulations transform each year. We are excited to announce we will host Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event from October 6‒8, 2020, to ensure revenue integrity professionals have access to the focused education and innovative networking they have come to expect from NAHRI.