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.

NAHRI Quarterly Call - October 29, 2024

Tue, 10/29/2024 - 15:28
Quarterly Calls
Chargemaster and Charge Capture, Denials and Appeals, Program Management, Revenue Integrity

Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

How to support interdepartmental collaboration for charge reconciliation

Fri, 10/18/2024
Leadership Council Insider
Chargemaster and Charge Capture, NAHRI Leadership Council, Revenue Integrity

Collaborating with other departments can help paint a better picture of the organization’s current charge reconciliation structure and practices, w

Download the October 2024 issue of the NAHRI Journal

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
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

Set the stage for success and close out the year strong.

2025 IPPS final rule calls for a TEAM effort

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to ensure your organization is in compliance with CMS’ newest rules.

Putting the 2025 OPPS proposed rule under the microscope

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at major changes in the works for outpatient reimbursement.

New CAR-T codes

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed changes to coding and reimbursement for chimeric antigen receptor T-cell (CAR-T) services.

Navigating the 2025 MPFS proposed rule

Wed, 10/02/2024
NAHRI Journal - Volume 8, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could impact your organization.

NAHRI Leadership Council Meeting (09-25-24)

Thu, 09/26/2024 - 15:29
Council Resources
Chargemaster and Charge Capture, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

2024 ACDIS/NAHRI Denials Management Mastermind Recap

Thu, 09/26/2024 - 09:14
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Revenue Integrity

Healthcare organizations are under more and more pressure from denials, impacting hospitals’ bottom lines and ultimately resources they have available to care for patients. Those in the revenue integrity and clinical documentation integrity (CDI) fields are

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