Stream the July 13 meeting now

Fri, 07/15/2022
Leadership Council Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

A recording of the NAHRI Leadership Council’s July 13 meeting is now available.

First research report of 2022 looks at processes for managing and creating custom claim edits

Fri, 07/15/2022
Leadership Council Insider
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds shared key insights into their custom edit processes, including workflow locations, oversight hierarchy, and the leading factors that drive custom edits.

NAHRI Leadership Council Meeting (07-13-22)

Wed, 07/13/2022 - 16:36
Council Resources
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Program Management, Revenue Integrity

2023 MPFS proposed rule: E/M changes, new codes, and payment updates

Wed, 07/13/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Payment cuts are in the offing for Part B providers in 2023, along with a series of other projected changes targeting E/M services, COVID-19-related billing flexibilities, and value-based care, according to the 2023 Medicare Physician Fee Schedule (MPFS) proposed rule released July 7.

Download the July 2022 issue of the NAHRI Journal

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Focus on the people and processes that make revenue integrity work.

2023 IPPS proposed rule: Changes on the horizon

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.

Unnecessary observation care: As the rules change

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Understand how to navigate evolving guidance on observation services and medical necessity.

Critical refresh: CAH and RHC billing compliance

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Brush up on revenue integrity essentials for critical access hospitals and rural health clinics.

The Movement to Pre-Bill Financial Performance Improvement

Thu, 06/16/2022 - 12:12
White Papers
Billing and Claims, Revenue Integrity

Despite investments in both technology and people, clean claim submission that reflects optimized compliant revenue capture still eludes most healthcare organizations. This...

Creating and Managing Custom Edits

Wed, 06/15/2022 - 00:00
White Papers
Billing and Claims, NAHRI Leadership Council

NAHRI Leadership Council shares best practices, resolving top challenges, and working around staffing shortages.

In the 2022 NAHRI Leadership Council survey: Custom Edits—Creation and Workflow, 100 leaders, including revenue integrity, health information management (HIM), and coding...

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