Billing and Claims

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

Q. Most respondents (35%) stated that operational departments are responsible for reconciling their own charges with regular support from revenue integrity. What recommendations do you have for revenue integrity team members and operational departments involved in the charge reconciliation process?

A. I think 35% is a great start; however, I would encourage all revenue integrity teams to work directly with the operational leaders to design and support charge reconciliation at the cost center or department level for 100% of revenue-producing departments.

Adirondack Health came to TruBridge after discovering they could save money over their previous clearinghouse. Due to the seamless integration to Meditech as well as other product capabilities, the several benefits revealed themselves.

CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency requirements focused on reporting of negotiated charges.

NAHRI’s April 28 Quarterly Call featured in-depth presentations on key performance indicators (KPIs) and billing and coding for telehealth in the age of COVID-19.

NAHRI Director Jaclyn Fitzgerald, CHRI, led off the call with a handful of important announcements, including the introduction of NAHRI Advisory Board members.

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.