CMS increases COVID-19 vaccine payments

Wed, 03/24/2021
Revenue Integrity Insider
Billing and Claims, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently boosted Medicare payments for COVID-19 vaccines as part of an effort to accelerate vaccinations.Read More »

CMS allows modifier -CS for additional telehealth services

Fri, 03/19/2021
Leadership Council Insider
Billing and Claims, Reimbursement and Payment Methodologies

Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary...Read More »

Q&A: Triage charge for ED visits

Wed, 03/17/2021
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture

Q: Can you tell me if your facility charges a triage charge for the ED? If a patient comes in and gets triaged, has vitals taken, protocol for...Read More »

CMS: Use modifier -CS with additional telehealth services

Wed, 02/24/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Six codes for telehealth services are newly eligible to reported with modifier -CS (cost-sharing), which requires Medicare to cover beneficiary...Read More »

Key strategies to better manage your self-pay accounts

Wed, 02/17/2021
Revenue Integrity Insider
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

A study published late last year by the Urban Institute forecasted that over 10 million families would lose their employer-sponsored health...Read More »

Q&A: Determining revenue code for COVID-19 monoclonal antibody infusion

Wed, 02/10/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration...Read More »

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021
Revenue Integrity Insider
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet...Read More »

Price transparency, elimination of inpatient-only list take centerstage at January Quarterly Call

Wed, 02/03/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

NAHRI’s January 26 Quarterly Call featured important association updates, as well as presentations on the new price transparency requirements and...Read More »

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