OPPS proposed rule floats far-reaching changes

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.Read More »

Judge grants hospitals victory in site-neutral payments dispute

Wed, 09/25/2019
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

A site-neutral payment policy touted by the Trump administration as among its healthcare policy successes was vacated by a federal judge.Read More »

Solve revenue integrity pain points with interdepartmental shadowing

Wed, 09/18/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Learn how interdepartmental shadowing can help revenue integrity improve processes and solve recurring issues.Read More »

October OPPS quarterly update includes billing and reimbursement changes for drugs

Wed, 09/11/2019
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status...Read More »

Q&A: Billing for separate, unrelated items in a clinical trial

Wed, 09/04/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?Read More »

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Register for our next call:

  • Tues, October 29, 2019 1:00 - 2:00 EDT - 
    • ...

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »

Note from the speaker: Learn the ins and outs of AUCs from the experience of a major academic medical center

Wed, 07/31/2019
Revenue Integrity Insider
Billing and Claims, Compliance, Revenue Integrity

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations...Read More »

CBO and Moody’s release estimates of savings, costs of surprise medical bill legislation

Wed, 07/24/2019
Revenue Integrity Insider
Billing and Claims, News, Revenue Integrity

A U.S. Senate bill aimed at protecting patients from surprise medical bills could also save the federal government about $7.5 billion over the...Read More »

Q&A: Conducting a retrospective charge segregation review

Wed, 07/17/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?Read More »

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