NAHRI Leadership Council Meeting (07-13-22)

Wed, 07/13/2022 - 16:36
Council Resources
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Program Management, Revenue Integrity

2023 MPFS proposed rule: E/M changes, new codes, and payment updates

Wed, 07/13/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Payment cuts are in the offing for Part B providers in 2023, along with a series of other projected changes targeting E/M services, COVID-19-...Read More »

AMA announces major E/M changes for facility-based services

Wed, 07/13/2022
Revenue Integrity Insider
Coding and Documentation, Compliance, News, Revenue Integrity

The American Medical Association’s (AMA) CPT Editorial Panel recently published changes to its evaluatio and management (E/M) Services Guidelines...Read More »

Download the July 2022 issue of the NAHRI Journal

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
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

Focus on the people and processes that make revenue integrity work.Read More »

Transitioning revenue integrity from an operational reactive to a proactive approach

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Anna Santoro, MBA, CCS, CCS-P, RCC, CHRI, shared three steps to a proactive revenue integrity department.Read More »

2023 IPPS proposed rule: Changes on the horizon

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.Read More »

Getting to the bottom of inpatient-only list compliance

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Use these strategies to protect revenue and strengthen compliance with inpatient-only list requirements.Read More »

Proactive processes: Tips for preventing denials and protecting revenue

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.Read More »

Unnecessary observation care: As the rules change

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Understand how to navigate evolving guidance on observation services and medical necessity.Read More »

Critical refresh: CAH and RHC billing compliance

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Brush up on revenue integrity essentials for critical access hospitals and rural health clinics.Read More »

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