CMS adds HCPCS codes for monoclonal antibody product PEMGARDA

Wed, 05/01/2024
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Revenue Integrity

CMS recently added two HCPCS codes that organizations can use to bill for PEMGARDA (pemivibart), a monoclonal antibody product for the pre-exposure prophylaxis of COVID-19 in certain adults and adolescents.

NAHRI Quarterly Call - April 30, 2024

Tue, 04/30/2024 - 15:27
Quarterly Calls
Billing and Claims, Coding and Documentation, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to a NAHRI Quarterly 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...

NAHRI's 2024 State of the Revenue Integrity Industry webinar

Tue, 04/23/2024 - 14:03
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Join NAHRI and our panel of revenue integrity leaders and experts on June 5, 1-2 p.m. Eastern for a dive into NAHRI 2024 State of the Revenue Integrity Industry Report. During this free live webinar, you'll learn about current and upcoming trends in revenue integrity program structure,...

Managing inpatient-only challenges in cath lab

Fri, 04/19/2024
Leadership Council Insider
Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

During the NAHRI Leadership Council’s March meeting, Council me

See the latest Council-exclusive resources

Fri, 04/19/2024
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

One of the benefits of NAHRI Leadership Council membership includes access to the Council’s exclusive library of resources including an archive of

2025 IPPS proposed rule covers reimbursement updates, major mandatory bundled payment model

Wed, 04/17/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is considering a lower pay bump for 2025 and a sweeping new mandatory bundled payment model for surgeries.

Download the April 2024 issue of the NAHRI Journal

Wed, 04/10/2024
NAHRI Journal - Volume 8, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Help your career grow and bloom.

Don’t forget to validate orders

Wed, 04/10/2024
NAHRI Journal - Volume 8, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Revenue Integrity

Understand how to improve documentation and prevent denials due to missing or invalid orders.

CMS updates billing code requirements for IPPE and AWV services

Wed, 04/03/2024
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News, Revenue Integrity

Review recent updates to billing code requirements for initial preventive physical examination (IPPE) and annual wellness visit (AWV) services.

NAHRI Leadership Council Meeting (03-27-24)

Thu, 03/28/2024 - 09:50
Council Resources
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, NAHRI Leadership Council, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

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