KPIs: Follow payment integrity for revenue integrity success

Wed, 07/01/2020
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, Program Management, Revenue Integrity

Learn how one hospital tracks appeals and recoveries to monitor financial health and revenue integrity success.

Download the July 2020 issue of the NAHRI Journal

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
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

Discover how core revenue integrity strengths can help overcome today’s challenges.

2021 IPPS proposed rule previews potential overhaul of rate-setting methodology

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ proposals could transform hospital reimbursement.

Keeping up with CMS’ COVID-19 rules and guidance

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Use these strategies to stay informed on evolving COVID-19 billing and reimbursement rules.

Official resources

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

To ensure you and your team have the most recent coding and billing guidance related to the novel coronavirus public health emergency, regularly check these official resources.

Ready or not: Hospital outpatient prior authorization is here

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Compliance, Coverage, Revenue Integrity

Ensure your organization is prepared to comply with new prior authorization requirements.

CMS clarifies use of catastrophe-related modifier and condition code

Wed, 06/10/2020
Revenue Integrity Insider
Billing and Claims, News, Revenue Integrity

CMS released new guidance and clarification on the use of modifier -CR (catastrophe/disaster related) and condition code DR (disaster related) in various scenarios.

Bringing together a cross functional team for virtual visit implementation success

Wed, 06/03/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Learn how the Cleveland Clinic developed a multi-discplinary process to address CMS' Medicare telehealth waivers.

Pages