In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...
Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?
2023 NAHRI Leadership Council reveals hospitals are embracing robust partnerships and solutions to automate priority areas like charge capture and edits.
Automation has emerged as a driving force in hospital revenue cycle management, equipping healthcare organizations...
Q: If a patient in the emergency department (ED) leaves without being seen (LWBS) by a physician/nonphysician practitioner, should we have facility charges?
CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule.
CMS has resumed testing of the activation of systematic validation edits for outpatient providers with multiple service locations. After postponing testing during the public health emergency, the agency conducted a fifth round of tests in May and revealed it is moving forward with the full production implementation of these edits.
CMS released compliance tips for pre-entitlement billing in a recent edition of its MLN Connects® newsletter. The agency instructed providers to use these billing instructions for inpatient admissions when the patient is admitted before their Medicare Part A entitlement date and discharged after that date.
Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...
