Hospital outpatient department E/M level visit calculator for facility charges

Thu, 01/16/2025 - 16:42
Council Resources
Chargemaster and Charge Capture, Coding and Documentation, NAHRI Leadership Council, Revenue Integrity

This sample hospital outpatient department E/M Level visit calculator for facility charges was submitted by 2025 NAHRI Leadership Council member Jaclyn Loewen, CPC, revenue integrity manager at UF Health Shands in Gainesville, Florida.

Download the January 2025 issue of the NAHRI Journal

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Prepare for a successful year with NAHRI.

Preventing revenue leakage through an effective revenue integrity program

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

Charge lag reduction strategies for success

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Chargemaster and Charge Capture, Revenue Integrity

Apply these field-tested methods to reduce charge lag.

Three Ways to Recover More Revenue With AI-Powered Charge Capture

Tue, 12/03/2024 - 10:23
White Papers
Chargemaster and Charge Capture, Revenue Integrity

Grappling with cost pressures and staffing shortages leaves little time for hospitals and health systems to go after reimbursable dollars. But forgoing this revenue can cost millions. Rather than leave that money on the table, AI can help improve the visibility of billable income so you can...

NAHRI Leadership Council Meeting (11-06-24)

Thu, 11/07/2024 - 11:02
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Program Management, Revenue Integrity

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wed, 11/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

CMS makes changes to behavioral health, new codes, and cuts to rates in 2025 MPFS final rule

Wed, 11/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other services.

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