CMS reminds providers to bundle emergency visit services with critical care

Wed, 10/28/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Physician and non-physician practitioners may benefit from reviewing bundling rules for emergency department visit services billed on the same date as critical care, according to the October 2020 Medicare Quarterly Compliance Newsletter.

NAHRI Quarterly Call -- October 27, 2020

Tue, 10/27/2020 - 16:31
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Reimbursement and Payment Methodologies, Revenue Integrity

 

Listening to NAHRI Quarterly Conference Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey (beginning January 2019). If you’re a NAHRI member and are interested in presenting on an upcoming

...

Download the October 2020 issue of the NAHRI Journal

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Put revenue integrity into focus to manage year end changes and ongoing challenges.

Wound care: Protecting revenue takes a team approach

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.

Note from the director: NAHRI Virtual Event wrap-up

Wed, 10/14/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI’s three-day virtual educational and networking event, Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event, wrapped up last week and offered helpful tips for revenue integrity professionals looking to expand their knowledge base and professional circle.

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wed, 10/07/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

Note from the associate editor: Last chance to register for NAHRI Virtual Event

Wed, 09/30/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

There’s still time to register for NAHRI’s biggest event of the year! Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event kicks off in less than a week.

From October 6–­8, attendees will tune in for three jam-packed days of educational sessions, networking opportunities, and daily moderated Q&A. NAHRI members can gain full access to the event for just $179, while nonmembers can register for $199. If you want to get your entire revenue integrity department involved, NAHRI is offering the special group discount rates.

NAHRI NC-SC Regional Chapter Presents: COVID-19 Regulatory and Payment Issues

Wed, 09/23/2020 - 15:32
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

To access a replay of the September 17 webinar, click...

CMS revises billing instructions for inpatient COVID-19 claims

Wed, 09/23/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Revenue Integrity

CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11.

Pages