Q&A: Reporting date for service of collection for lab panels

Wed, 05/27/2020
Revenue Integrity Insider
Coding and Documentation, Revenue Integrity

Q: Under the introductory section of the CPT Manual’s Organ or Disease-Oriented Panels section, third paragraph, it is stated, "Do not...Read More »

FY 2021 IPPS proposed rule includes 600 potential code changes

Wed, 05/20/2020
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM...Read More »

2021 IPPS proposed rule: MS-DRG changes and new requirements to report negotiated charges

Wed, 05/13/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency...Read More »

KPIs, telehealth billing take centerstage on April Quarterly Call

Wed, 05/13/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Policies and Procedures, Revenue Integrity

NAHRI’s April 28 Quarterly Call featured in-depth presentations on key performance indicators (KPIs) and billing and coding for telehealth in the...Read More »

CMS issues new flexibilities and waivers, permits hospitals to bill for telehealth

Mon, 05/04/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the...Read More »

Q&A: Documenting time for telehealth and telemedicine

Wed, 04/29/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Q: Should providers be documenting the time for all telehealth and telemedicine visits?Read More »

Join us May 7 for The Revenue Integrity Show

Wed, 04/29/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

The next episode of NAHRI’s new podcast, The Revenue Integrity Show, airs Thursday, May 7, at 3 p.m. Eastern. This episode dives into the impact...Read More »

Stream the April 2020 Quarterly Call

Wed, 04/29/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

The recording of the April 28 members-only Quarterly Conference Call is now available for streaming.Read More »

Creating Transformational Coding and Auditing Practices

Tue, 04/28/2020 - 16:06
White Papers
Billing and Claims, Coding and Documentation, Policies and Procedures, Reimbursement and Payment Methodologies

In a recent National Association of Healthcare Revenue Integrity (NAHRI) survey, 143 coding, compliance, revenue integrity, HIM, and executive leaders from healthcare providers shared their insights on coding and

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