Tackling COVID-19 Vaccination Billing Challenges: A System Approach

Submitted by jfitzgerald@hcp... on Thu, 04/08/2021 - 15:47

Topic: Tackling COVID-19 Vaccination Billing Challenges: A System Approach

Featuring:

  • Melissa Deuel, System Manager, Charge Master, CommonSpirit Health
  • Christian S. Gabriel, National Director of Revenue Integrity, CommonSpirit Health
  • Marie Garcia, System Manager, Revenue Integrity, CommonSpirit Health
  • Kay Larsen, CRCR, CHRI, Revenue Integrity Specialist, Adventist Health Glendale

 

Using CMS and NAHRI resources to address charge denials

Wed, 04/07/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »

Sample Payer Charge Denial Letter

Wed, 04/07/2021 - 09:55
Policies & Procedures
Billing and Claims, Chargemaster and Charge Capture, Monitoring and Audits, Revenue Integrity

Use this sample payer charge denial letter to use as a template when drafting appeal letters.

Download the April 2021 issue of the NAHRI Journal

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Explore the revenue integrity universe.Read More »

Implementing the new era of price transparency

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Learn how revenue integrity leaders helped their organizations meet the new requirements and what next steps they’re planning.Read More »

Six tips for improving hospital price transparency compliance

Wed, 03/24/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

NAHRI Advisory Board member Caroline Znaniec, MBA, MS-HCA, shares how hospitals can identify and improve compliance with price transparency rules...Read More »

Q&A: Triage charge for ED visits

Wed, 03/17/2021
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture

Q: Can you tell me if your facility charges a triage charge for the ED? If a patient comes in and gets triaged, has vitals taken, protocol for...Read More »

In concert: A team-based approach to price transparency compliance

Wed, 03/17/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Preparing to comply with CMS’ Hospital Price Transparency final rule was no mean feat for revenue integrity professionals, and an already...Read More »

Q&A: Rounding time for surgery charges

Wed, 03/10/2021
Revenue Integrity Insider
Ask NAHRI, Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

Q: Our system has a new vendor that is helping with charge capture. We were discussing surgery level charges and a comment was made about rounding...Read More »

​Updates on the Inpatient-Only List and Price Transparency (February 25, 2021)

Submitted by jfitzgerald@hcp... on Thu, 02/25/2021 - 15:50

Topic: ​Updates on the Inpatient-Only List and Price Transparency

Featuring:

  • Ronald Hirsch, MD, FACP, CHCQM, Vice President, R1 Physician Advisory Services
  • Caroline Znaniec, Managing Director, CohnReznick LLP’s Healthcare Advisory Practice, Baltimore, Maryland

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