Reach your destination by planning for revenue integrity success.Read More »
Consider the financial impact of CMS’ proposals for outpatient hospital payments.Read More »
Review CMS’ proposals for changes to facility E/M coding and other coverage and reimbursement updates.Read More »
Ensure your organization is complying with CMS’ latest requirements for hospital inpatient billing and reimbursement.Read More »
A federal judge ruled in favor of the American Hospital Association (AHA) and other industry plaintiffs on September 28, ordering HHS to stop its...Read More »
The Office of Inspector General (OIG) recently released an audit report on Medicare integrity risks related to billing for telehealth services...Read More »
The 2022 NAHRI Leadership Council Survey Part 2 examines claim edit patterns, pre-billing processes, and top payer trends.
In addition to clinical areas, the last two years of the COVID-19 pandemic also introduced massive disruption to the revenue cycle, skewing billing processes and...
HHS recently released final rules for implementing components of the No Surprises Act. These rules expand upon several provisions of the July 2021...Read More »
Q: How do we to handle charges for donor-related services when the donor is an unsuccessful match? Should the charges for services provided to a...Read More »
CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement in the wake of the...Read More »