Billing and Claims

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11

Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Tues, October 29, 2019 1:00 - 2:00 EDT -

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »

Note from the speaker: Learn the ins and outs of AUCs from the experience of a major academic medical center

Wed, 07/31/2019

Revenue Integrity Insider

Billing and Claims, Compliance, Revenue Integrity

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations...Read More »

CBO and Moody’s release estimates of savings, costs of surprise medical bill legislation

Wed, 07/24/2019

Revenue Integrity Insider

Billing and Claims, News, Revenue Integrity

A U.S. Senate bill aimed at protecting patients from surprise medical bills could also save the federal government about $7.5 billion over the...Read More »

Q&A: Conducting a retrospective charge segregation review

Wed, 07/17/2019

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?Read More »