Latest surprise billing rule requires cost estimates, outlines arbitration process

Wed, 10/06/2021
Revenue Integrity Insider
Billing and Claims, Compliance, News, Revenue Integrity

Hospitals must provide uninsured or self-pay patients with good faith cost estimates for services, according to an interim final rule (IFR) released September 30 implementing provisions of the No Surprises Act.

Download the October 2021 issue of the NAHRI Journal

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Scout ahead for revenue integrity opportunities.

2022 OPPS proposed rule: CMS major changes and reversals

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to regulations and reimbursement could affect your organization.

2022 MPFS proposed rule: Physician reimbursement faces steep cuts, major changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze the potential impact of CMS’ major proposed changes to physician reimbursement.

MVP and additional updates

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about updates to the MIPS Value Pathways program and additional changes in the 2022 Medicare Physician Fee Schedule proposed rule.

2022 IPPS final rule: CMS opts for alternative data collection, finalizes MS-DRG changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is in compliance with CMS’ latest requirements.

Take the surprise out of the No Surprises Act

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at the implications and compliance risks of the No Surprises Act.

CMS retracts audit determinations for certain provider-based departments

Wed, 09/29/2021
Revenue Integrity Insider
Billing and Claims, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is rescinding audit determinations for off-campus provider-based departments that claimed the mid-build exception under the 21st Century Cures Act,

Smart revenue integrity: Using automation to manage payer requirements

Wed, 09/22/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Learn how one organization has used automation to improve charge capture and get clean claims out the door faster.

Report: The Crucial Role of Technology and Provider Engagement in Reducing Denials

Thu, 09/16/2021 - 11:34
Council Resources
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

2021 NAHRI Council Survey Part 2 explores best practices for leveraging technology, automation, and clinical collaboration. 

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