Following is the text of NAHRI's comments to CMS on the proposed changes to the Medicare Outpatient Prospective Payment System and proposed calendar year 2025 rates. Download them below. You may use this letter as a template for submitting your own comments to CMS on any of the topics addressed...
Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical...
CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).
Hospitals will need to prepare for a new mandatory bundled payment model and significant changes to coding and billing for certain new technologies, social determinants of health (SDOH), and more, according to the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) final rule.
NAHRI members received association updates and learned about provisions in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule that could impact revenue integrity professionals during the July NAHRI Quarterly Call.
Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...
The American Medical Association (AMA) assigned a new provisional CPT product code for vaccines to protect patients against the H5N8 strain of the bird flu.
