Q&A: Reporting patient supplied drugs

Wed, 10/27/2021
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and...Read More »

ED facility levels and critical care (October 21, 2021)

Submitted by jfitzgerald@hcp... on Thu, 10/21/2021 - 16:03

ED facility levels and critical care

  • Caroline Znaniec, Managing Director, CohnReznick LLP’s Healthcare Advisory Practice, Baltimore, Maryland
  • Marie Garcia, System Manager Revenue Integrity – Charge Capture, CommonSpirit Health, Phoenix, Arizona
  • Christian S. Gabriel, National Director of Revenue Integrity at CommonSpirit Health, Glendale, California           

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)...Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

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...Read More »

Pages