Billing and Claims

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

A U.S. Senate bill aimed at protecting patients from surprise medical bills could also save the federal government about $7.5 billion over the next decade, according the Congressional Budget Office (CBO).

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

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

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

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

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

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

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

Learn about telehealth coverage for specific payers to develop services.