Planning for the end of PHE waivers

Fri, 01/20/2023
Leadership Council Insider
Billing and Claims, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

As we start 2023, one of the biggest questions is the fate of the COVID-19 public health emergency declaration (PHE).Read More »

Download the January 2023 issue of the NAHRI Journal

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

Preparing for the end of PHE waivers and facility E/M changes

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, shares tips for preparing for the end of emergency waivers.Read More »

Weighing gains and losses in the 2023 OPPS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.Read More »

Unlocking key changes in the 2023 MPFS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.Read More »

No Surprises Act: Good in theory, difficult in practice

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Compliance, Revenue Integrity

Brush up on hospital compliance requirements with surprise billing rules.Read More »

Q&A: Billing for pre- or postsurgical pain control blocks

Wed, 01/04/2023
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: If an anesthesiologist performs a presurgical or postsurgical block for pain control and it is performed in a holding area rather than in the...Read More »

OIG details top unimplemented recommendations for Medicare Parts A and B

Wed, 12/21/2022
Revenue Integrity Insider
Billing and Claims, Compliance, Monitoring and Audits, News

The Office of Inspector General (OIG) recently released its annual report on solutions to reduce fraud, waste, and abuse in HHS programs. In the...Read More »

How to make the best use of automation in revenue integrity

Wed, 11/16/2022
Revenue Integrity Insider
Billing and Claims, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Automation and similar technologies are increasingly prevalent in revenue integrity but understanding best practices and long-term implications is...Read More »

2023 OPPS final rule reduces some payments to offset restored 340B reimbursement

Wed, 11/09/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS finalized a higher-than-proposed payment increase that was almost erased for most non-drug services to offset ending reduced reimbursement for...Read More »

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