In the spirit of Revenue Integrity Week, which is designed to celebrate the diligence and dedication of revenue integrity professionals, NAHRI’s...Read More »
In the spirit of Revenue Integrity Week, which is designed to celebrate the diligence and dedication of revenue integrity professionals, NAHRI’s State of the Revenue Integrity Industry Survey once again took a deep dive into the roles of revenue integrity professionals, the activities they are responsible for, and the backgrounds from which they came. Though many respondents have been performing duties that align with revenue integrity work for upwards of decades, established revenue integrity titles and roles have been around for a shorter period. As we compare results from last year, we can only begin to see a shift as facilities establish departments and programs and further define revenue integrity.
In the transition to value-based care and pay-for-performance reimbursements, more providers are shifting care to outpatient settings. However, few HIM departments are prepared to optimize outpatient documentation and coding , which hinders the financial returns from this rapidly growing segment...
U.S. District Judge Rudolph Contreras last week reaffirmed that the U.S. Department of Health and Human Services (HHS) exceeded its authority when...Read More »
Q: I was on a conference call with the CDM coordinators within my health system and we got involved in a lively discussion. If there's no medical...Read More »
CMS published the FY 2020 Inpatient Prospective Payment System (IPPS) proposed rule on April 23, introducing policies designed to significantly...Read More »
The April 2019 OPPS quarterly update reassigned specific skin substitute products from the low-cost group to the high-cost group, and clarified...Read More »
