2022 IPPS final rule: CMS opts for alternative data collection, finalizes MS-DRG changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is in compliance with CMS’ latest requirements.

Report: The Crucial Role of Technology and Provider Engagement in Reducing Denials

Thu, 09/16/2021 - 11:34
Council Resources
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

2021 NAHRI Council Survey Part 2 explores best practices for leveraging technology, automation, and clinical collaboration. 

Report: Closing Critical Gaps in Denials Management

Thu, 09/16/2021 - 11:31
Council Resources
Billing and Claims, Coding and Documentation, Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

NAHRI Leadership Council reveals training, process, and technology innovations are driving better outcomes.

Sustainable solutions: Collaborating with clinical departments on root cause solutions to coding edits

Wed, 08/25/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Program Management, Revenue Integrity

Finding and addressing the roor causes of coding edits is essential to revenue integrity, but when the issue points back to clinical departments it can often be a challenge to get them on board with change. Use these tips to gain clinical departments' support and implement practical, colloboartive solutions.

2021 Revenue Integrity Symposium kicks off with expert advice on hot topics and collaborative discussions

Wed, 08/18/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Speakers and registrants shared tips and insights into revenue integrity hot topics on day one of the 2021 Revenue Integrity Symposium, held virtually August 17–18.

2022 MPFS proposed rule: Conversion factor cut, telehealth and AUC updates

Wed, 07/14/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 4% decrease to the Medicare conversion factor, permanent expansion of telehealth coverage for some mental health services, and new timelines for Appropriate Use Criteria (AUC) reporting, according to the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule.

Download the July 2021 issue of the NAHRI Journal

Wed, 07/07/2021
NAHRI Journal - Volume 5, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Reach the next level of revenue integrity

2022 IPPS proposed rule: CMS hits reset button on MS-DRG changes, offers relief for strained hospitals

Wed, 07/07/2021
NAHRI Journal - Volume 5, Issue 3
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at how CMS’ proposed changes could transform hospital reimbursement.

Code updates

Wed, 07/07/2021
NAHRI Journal - Volume 5, Issue 3
Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Review proposed code updates from the fiscal year 2022 Inpatient Prospective Payment System proposed rule.

Pages