October OPPS quarterly update includes billing and reimbursement changes for drugs

Wed, 09/11/2019
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

The October 2019 OPPS quarterly update reassigned certain injections from non-payable to separately payable. CMS also revised the status...Read More »

2020 OPPS proposed rule: CMS looks to enforce price transparency, seeks comments on unwinding 340B policy

Tue, 07/30/2019
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule,...Read More »

CMS postpones implementation of edits related to provider-based services

Wed, 07/10/2019
Revenue Integrity Insider
Coding and Documentation

CMS is postponing implementation of systematic validation edits for OPPS providers with multiple service locations until October to...Read More »

Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.Read More »

2020 IPPS proposed rule: Putting the pieces together

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Put CMS’ proposed changes in perspective to see the bigger picture.Read More »

Get ahead of AUC reporting requirements

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do now to ensure seamless Appropriate Use Criteria reporting.Read More »

Finding the revenue integrity value in telehealth

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Review telehealth opportunities and pitfalls with an eye on revenue integrity.Read More »

Telehealth coverage

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Coverage, Revenue Integrity

Learn about telehealth coverage for specific payers to develop services.Read More »

Final FY 2020 ICD-10-CM changes include hundreds of new tabular instructions

Wed, 07/03/2019
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

The CDC has posted the FY 2020 ICD-CM final code changes, and there were no changes to the proposed list of 273 new, 30 revised and 21 invalidated...Read More »

CMS seeks feedback on aligning, simplifying coding and documentation requirements

Wed, 06/26/2019
Revenue Integrity Insider
Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, News, Revenue Integrity

As part of its Patients Over Paperwork initiative, CMS is collecting public input on ways to reduce unnecessary administrative and regulatory...Read More »

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