Q&A: Conducting a retrospective charge segregation review

Wed, 07/17/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.

The ABCs of the AUC process: Are you ready?

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Compliance, Revenue Integrity

Denise Williams, COC, CHRI, shares insight and analysis on Appropriate Use Criteria.

Get ahead of AUC reporting requirements

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do now to ensure seamless Appropriate Use Criteria reporting.

AUC: Appropriate application

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at how the Appropriate Use Criteria Program applies to different types of facilities and in different settings.

Billing Q&A: Clinical laboratory date of service policy

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Compliance, Revenue Integrity

Use these expert answers to improve your organization’s lab DOS policy compliance.

Finding the revenue integrity value in telehealth

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Review telehealth opportunities and pitfalls with an eye on revenue integrity.

Telehealth coverage

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Coverage, Revenue Integrity

Learn about telehealth coverage for specific payers to develop services.

Q&A: Billing for pre-admission testing

Wed, 06/19/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: My team is asking me if we should combine pre-admission testing (PAT) visits with the surgery bill. I'm thinking no because some of the PAT services are not routine for the surgery. However, isn't there a rule about services that can't be billed separately prior to surgery?

Position Paper: April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) [CR11216]

Mon, 06/17/2019 - 14:32
White Papers
Billing and Claims, Revenue Integrity

The NAHRI Professional Advocacy Committee is responsible for the research and development of position papers that can help further the revenue integrity profession and bring awareness to matters impacting revenue integrity practices. This position paper from the committee looks at the April 2019...

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