Use benchmarks to stop revenue leakage through small-dollar edits and denials

Wed, 02/13/2019
Revenue Integrity Insider
Billing and Claims, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Learn how track and evaluate small-dollar denials before they add up to major revenue losses.Read More »

Revenue integrity associate for edit management job description

Fri, 02/08/2019 - 15:00
Job Descriptions
Billing and Claims, Program Management, Revenue Integrity

Use this sample revenue integrity associate for edit management job description as a template for your facility.

Note from the director: 2019 Revenue Integrity Symposium keynote, location, dates announced

Wed, 01/30/2019
Revenue Integrity Insider - Volume 3 Issue 3
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Revenue Integrity

It’s hard to believe planning for the 2019 Revenue Integrity Symposium (RIS) is already underway. It feels like just yesterday we were all...Read More »

Q&A: Billing for test results after the patient leaves

Wed, 01/23/2019
Revenue Integrity Insider - Volume 3 Issue 3
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: We have patients that come to the emergency department (ED), are seen by a physician assistant, nurse practitioner, doctor of osteopathic...Read More »

CMS clarifies guidance for resolving PTP edits and MUEs, reporting modifiers -59 and -91

Tue, 01/08/2019
Revenue Integrity Insider - Volume 3 Issue 1
Billing and Claims, Coding and Documentation, Revenue Integrity

CMS released additional instructions to the Medicare Claims Processing Manual for the accurate interpretation of claim edits and...Read More »

2019 MPFS: Review and refresh your processes

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.Read More »

Site-neutral payment policies move ahead in 2019 OPPS final rule

Thu, 01/03/2019
NAHRI Journal - Volume 3 Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how payment policy changes, C-APC changes, and more will impact your organization.Read More »

Improve payment rates with accurate, transparent, efficient Patient Liability Estimates

Mon, 12/17/2018 - 14:07
White Papers
Billing and Claims, Coverage

With healthcare costs on the rise, patients are experiencing greater out-of-pocket expenses and providers, in turn, are having difficulty collecting revenue from patients-- a process...

Q&A: Billing for wound debridement and skin substitute application

Wed, 11/28/2018
Revenue Integrity Insider - Volume 2 Issue 29
Ask NAHRI, Billing and Claims, Coding and Documentation, Revenue Integrity

Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (...Read More »

Billing and Charge Audit Procedure

Wed, 11/21/2018 - 11:03
Policies & Procedures
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Use this sample billing and charge audit procedure as a template for your organization.

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