Billing and Claims

Medicare Beneficiary Notices: Ease the Delivery and Documentation Burden

Fri, 05/18/2018 - 10:09

Webinars

Billing and Claims, Compliance

2018 OPPS Final Rule: Implement 340B Changes and Other Major Provisions

Fri, 05/18/2018 - 09:28

Webinars

Billing and Claims, Revenue Integrity

Q&A: Services included in room and board

Wed, 05/16/2018

Revenue Integrity Insider

Ask NAHRI, Billing and Claims, Coverage, Denials and Appeals, Revenue Integrity

Q: Is there any specific guidance on what nursing services should be included in room and board and covered under routine services?Read More »

Score a home run when resolving clinical research trial claim edits

Wed, 05/16/2018

Revenue Integrity Insider

Billing and Claims, Compliance, Revenue Integrity

Clinical research studies can offer enormous benefits for patients and provider organizations. But managing charges and submitting claims for...Read More »

NAHRI’s second Quarterly Call shares expert advice and revenue integrity news

Wed, 05/02/2018

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Compliance, Denials and Appeals, Revenue Integrity

More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives...Read More »

NAHRI Quarterly Call - April 24, 2018

Tue, 04/24/2018 - 14:50

Quarterly Calls

Billing and Claims, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

A recording of our April 24 NAHRI Quarterly Call.

Q&A: Charging for cancelled surgeries

Wed, 03/21/2018

Revenue Integrity Insider

Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Compliance

Q: Can you charge a cancelled surgery if the patient is not taken to the procedure room?Read More »

Multiple Procedure Modifier Grid

Wed, 11/29/2017 - 11:04

Policies & Procedures

Billing and Claims, Coding and Documentation, Policies and Procedures, Revenue Integrity

Use this sample resource from RestorixHealth as a guide to understanding when to bundle procedures.

Predictive analytics for audits can help identify missing revenue

Wed, 09/20/2017

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Revenue Integrity

There are two parts of maintaining correct audits: ensuring that the charges present on the claim accurately represent the care provided and...Read More »