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...Read More »

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.Read More »

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...Read More »

COVID-19 delays interoperability rules

Fri, 01/15/2021
Leadership Council Insider
Billing and Claims, NAHRI Leadership Council, Reimbursement and Payment Methodologies

Implementation of two historic rules set to implement interoperability and patient access provisions of the Cures Act, have been postponed until...Read More »

Download the January 2021 issue of the NAHRI Journal

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Get a fresh perspective on revenue integrity for the new year.Read More »

Navigating PHE telehealth changes and Hospitals Without Walls

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Christian S. Gabriel breaks down CMS’ expanded coverage for hospital outpatient telehealth.Read More »

2021 OPPS final rule: Inpatient-only list eliminated, prior authorization expanded

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the ins and outs of CMS’ major new policies.Read More »

340B drug reimbursement and Most Favored Nation model

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how changes to 340B reimbursement could interact with policies under the Most Favored Nation model.Read More »

Made to measure: Rethinking KPIs

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Monitoring and Audits, Program Management, Revenue Integrity

Learn how to evaluate and apply KPIs to your specific program and organization.Read More »

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