CMS will begin reprocessing 2019 claims for some services rendered at excepted off-campus provider-based departments. The affected claims are for...Read More »
Chargemasters is more than just CPT® and HCPCS codes. It’s a key part of processes across departments, and its data can help a hospital develop insights into its operations.
To keep the chargemaster in top shape, don’t stop at CPT/ HCPCS code updates. An effective chargemaster governance...
CMS is expanding payments for at-home COVID-19 vaccinations to include communal spaces in multi-unit living settings or communal arrangements.Read More »
Denials management continues to be a significant challenge for healthcare organizations in 2021, and beyond. Earlier this year, NAHRI conducted a survey to its Leadership Council on denials management, and 100 leaders,...
Q: How should we bill for trauma activation without pre-hospital notification and how should we capture charges for these services? Do we bundle...Read More »
Healthcare organizations are looking for better ways to stem the flow of denials, which have been even more challenging to manage in the last year and a half. The pandemic triggered a significant shift to virtual care services and many other changes that impacted billing, claims, and coding...
Finding and addressing the roor causes of coding edits is essential to revenue integrity, but when the issue points back to clinical departments...Read More »
