Q&A: Billing for pulse oximetry

Wed, 01/08/2020
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: Can we bill separately for pulse oximetry?Read More »

Download the January 2020 issue of the NAHRI Journal

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Face the changes and evolve with revenue integrity.Read More »

2020 OPPS final rule: Finding the balance

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how new policies and requirements will affect your organization.Read More »

2020 MPFS final rule: Keep up with shifting regulations

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a comprehensive look at the changes for this year.Read More »

2020 MPFS: E/M documentation changes on track

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review E/M documentatin changes in the 2020 Medicare Physician Fee Schedule final rule.Read More »

2020 MPFS: New supervision requirements

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Review changes to supervision in the 2020 Medicare Physician Fee Schedule final rule.Read More »

Thinking local: Revenue integrity and Medicaid

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to establish revenue integrity best practices for Medicaid populations.Read More »

CMS repaying hospitals for site-neutral cuts but 2020 reductions still on track

Wed, 12/18/2019
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is automatically reprocessing 2019 hospital claims for certain services provided at grandfathered off-campus provider-based departments (PBD)...Read More »

OIG: Medicare improperly paid hospitals more than $50 million for post-acute transfers

Wed, 12/11/2019
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, Revenue Integrity

Medicare made $54.4 million in improper payments to acute care hospitals for post-acute transfers that did not comply with Medicare’s policies,...Read More »

Q&A: Conflicts between coding guidelines and payer’s claims processing requirements

Wed, 11/20/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation

Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use Z51.11 (encounter for antineoplastic...Read More »

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