Download the January 2022 issue of the NAHRI Journal

Wed, 01/12/2022
NAHRI Journal - Volume 6, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get inspired by new revenue integrity concepts.

In with the new: Complying with the 2022 OPPS final rule

Wed, 01/12/2022
NAHRI Journal - Volume 6, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at the ins and outs of complying with the 2022 OPPS final rule.

Getting perspective on the 2022 MPFS final rule

Wed, 01/12/2022
NAHRI Journal - Volume 6, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into the details of the 2022 MPFS final rule.

New split/shared modifiers

Wed, 01/12/2022
NAHRI Journal - Volume 6, Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about CMS' new modifiers for split/shared billing.

Q&A: Documenting notice and consent under the No Surprises Act

Wed, 01/05/2022
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Compliance, Revenue Integrity

Under the No Surprises Act, how do we document that a patient has been informed that a provider is out of network and still wishes to receive that provider’s services?

Get Your Coding Right the First Time—Prior to Billing—with Automated Analysis from eValuator

Thu, 12/02/2021 - 18:20
White Papers
Billing and Claims, Coding and Documentation, Revenue Integrity

Optimized financial performance starts with accurately coded claims, yet far too many providers only review a small portion of cases prior to billing. This means the majority of the issues behind revenue leakage...

2022 OPPS final rule doubles down on price transparency penalties

Wed, 11/03/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.

2022 MPFS final rule revamps split/shared visit billing, expands telehealth

Wed, 11/03/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.

Q&A: Reporting patient supplied drugs

Wed, 10/27/2021
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?

ED facility levels and critical care (October 21, 2021)

Submitted by jfitzgerald@hcp... on Thu, 10/21/2021 - 16:03

ED facility levels and critical care

  • Caroline Znaniec, Managing Director, CohnReznick LLP’s Healthcare Advisory Practice, Baltimore, Maryland
  • Marie Garcia, System Manager Revenue Integrity – Charge Capture, CommonSpirit Health, Phoenix, Arizona
  • Christian S. Gabriel, National Director of Revenue Integrity at CommonSpirit Health, Glendale, California           

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