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Billing and Claims

Hindsight is Always 20/20: Revenue Integrity Tips I Wish I Knew Last Year (March 11, 2021)

Topic: Hindsight is Always 20/20: Revenue Integrity Tips I Wish I Knew Last Year

Featuring:

Kay Larsen, CRCR, CHRI, Revenue Integrity Specialist, Adventist Health Glendale
Sarah L Goodman, MBA, CHCAF, COC, CCP, FCS, President/CEO, SLG, Inc.

Read more about Hindsight is Always 20/20: Revenue Integrity Tips I Wish I Knew Last Year (March 11, 2021)

CMS: Use modifier -CS with additional telehealth services

Wed, 02/24/2021

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Revenue Integrity

Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary...Read More »

Key strategies to better manage your self-pay accounts

Wed, 02/17/2021

Revenue Integrity Insider

Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health...Read More »

Four Strategies to Better Manage Your Self-Pay Accounts (February 11, 2021)

Topic: Four Strategies to Better Manage Your Self-Pay Accounts

Featuring: Juli Forde, Director of Strategic Partnerships, AR Optimization, ZOLL Data Systems

Read more about Four Strategies to Better Manage Your Self-Pay Accounts (February 11, 2021)

Q&A: Determining revenue code for COVID-19 monoclonal antibody infusion

Wed, 02/10/2021

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Revenue Integrity

Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration...Read More »

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021

Revenue Integrity Insider

Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21^st Century Cures Act failed to meet...Read More »

Price transparency, elimination of inpatient-only list take centerstage at January Quarterly Call

Wed, 02/03/2021

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Revenue Integrity

NAHRI’s January 26 Quarterly Call featured important association updates, as well as presentations on the new price transparency requirements and...Read More »

NAHRI Quarterly Call -- January 26, 2021

Tue, 01/26/2021 - 15:33

Quarterly Calls

Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 calls will take place at the following dates and times:

Tues, April 27, 2021 1:00 - 2:00 EDT
Tues, July 27, 2021 1:00 - 2:00 EDT
Tues, October 26, 2021 1:00 - 2:00 EDT

CMS to reprocess 2019 claims for certain excepted off-campus provider-based department services at lower payment

Wed, 01/20/2021

Revenue Integrity Insider

Billing and Claims, News, Revenue Integrity

CMS will begin reprocessing 2019 claims for certain services rendered at excepted off-campus provider-based departments (PBD), the agency...Read More »

Note from the associate editor: Looking ahead to NAHRI events in 2021

Wed, 01/20/2021

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Revenue Integrity

It’s a new year, and NAHRI is excited to provide unique educational opportunities throughout 2021.Read More »

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