NAHRI Professional Advocacy Committee offers guidance on CMS price transparency requirements

Wed, 12/18/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Reimbursement and Payment Methodologies, Revenue Integrity

As 2019 draws to a close, and as revenue integrity professionals and their organizations look to the future, an important set of decisions and...Read More »

Hospital groups challenge CMS’ price transparency rule, ask for expediated decision

Wed, 12/04/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, News, Revenue Integrity

The American Hospital Association (AHA) and other hospital groups argue that the final rule is unlawful because it exceeds CMS' statutory...Read More »

Hospital price transparency final rule released, effective date set for January 2021

Mon, 11/18/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, News

Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final...Read More »

Charge capture reconciliation policy

Fri, 11/15/2019 - 14:41
Policies & Procedures
Chargemaster and Charge Capture, Policies and Procedures, Revenue Integrity

Use this sample policy to ensure timely and accurate charge capture and resolution of pending charges.

2020 OPPS final rule: Price transparency policy remains opaque, site neutral and 340B drug discount cuts to continue

Wed, 11/06/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

CMS is moving forward with multiple policies—effectively based on reducing reimbursement to hospitals—that have been deemed unlawful in court,...Read More »

Q&A: Applying charges for therapy across different payers

Wed, 10/30/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Compliance, Revenue Integrity

Q: Our new EHR system was built using logic for therapy charging based on both the AMA and CMS eight-minute rules. Charges will generate...Read More »

Report recommends chargemaster best practices for price transparency

Wed, 10/30/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, Revenue Integrity

Review these five elements to improve the usefulness and legibility of chargemaster data posted online.Read More »

Q&A: Charging for cardiac catheterization procedures

Wed, 10/09/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

Q: We are in the middle of changing the hospital methodology for charging cardiac cath procedures within Epic CUPID. What is your hospital’s...Read More »

AHA urges CMS to consider legality of OPPS price transparency, clinic payment proposals

Wed, 10/02/2019
Revenue Integrity Insider
Chargemaster and Charge Capture, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS’ proposal mandating the disclosure of negotiated charges between hospitals and payers may exceed the agency’s legal authority and would have...Read More »

Download the October 2019 issue of the NAHRI Journal

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your inspiration to stay informed and motived on your revenue integrity journey.Read More »

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