Hospital outpatient department E/M level visit calculator for facility charges

Thu, 01/16/2025 - 16:42
Council Resources
Chargemaster and Charge Capture, Coding and Documentation, NAHRI Leadership Council, Revenue Integrity

This sample hospital outpatient department E/M Level visit calculator for facility charges was submitted by 2025 NAHRI Leadership Council member Jaclyn Loewen, CPC, revenue integrity manager at UF Health Shands in Gainesville, Florida.

Download the January 2025 issue of the NAHRI Journal

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
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

Prepare for a successful year with NAHRI.

Preventing revenue leakage through an effective revenue integrity program

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

Untangling the web of denials and differing diagnostic standards

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Coding and Documentation, Denials and Appeals, Revenue Integrity

Take a closer look at the role diagnostic standards play in denials and how to improve processes.

CMS addresses improper payment rates for immunosuppressive drugs

Wed, 01/08/2025
Revenue Integrity Insider
Coding and Documentation, Coverage, News, Revenue Integrity

Following the release of 2023 improper payment rate data for immunosuppressive drugs, CMS recommends that organizations brush up on compliance tips.

CMS updates global surgery billing guidance

Wed, 12/18/2024
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Revenue Integrity

CMS recently updated guidance on Medicare’s global surgery package to provide additional information on transfer of care modifiers and new HCPCS code G0559.

APCM billing and coding requirements

Wed, 12/11/2024
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.

Q&A: Defining outpatient CDI processes

Tue, 11/26/2024
Revenue Integrity Insider
Ask NAHRI, Coding and Documentation, Revenue Integrity

Q: What clinical documentation integrity (CDI) methods should be used in the outpatient setting?

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