Q&A: Billing for separate, unrelated items in a clinical trial

Wed, 09/04/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?Read More »

NAHRI Quarterly Call - July 30, 2019

Tue, 07/30/2019 - 15:11
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Register for our next call:

  • Tues, October 29, 2019 1:00 - 2:00 EDT - 
    • ...

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »

Note from the speaker: Learn the ins and outs of AUCs from the experience of a major academic medical center

Wed, 07/31/2019
Revenue Integrity Insider
Billing and Claims, Compliance, Revenue Integrity

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations...Read More »

CBO and Moody’s release estimates of savings, costs of surprise medical bill legislation

Wed, 07/24/2019
Revenue Integrity Insider
Billing and Claims, News, Revenue Integrity

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...Read More »

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?Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

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