Download the October 2022 issue of the NAHRI Journal

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
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

Reach your destination by planning for revenue integrity success.

2023 OPPS proposed rule: Hospital reimbursement in the balance

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the financial impact of CMS’ proposals for outpatient hospital payments.

Review CMS’ proposals for changes to facility E/M coding and other coverage and reimbursement updates

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Review CMS’ proposals in the 2023 Medicare Physician Fee Schedule for changes to facility E/M coding and other coverage and reimbursement updates.

Observation code crosswalk 2022 to 2023

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Coding and Documentation, Revenue Integrity

Use this observation code crosswalk to train staff on the pending changes.

Observation code crosswalk 2022 to 2023

Tue, 10/04/2022 - 16:10
Policies & Procedures
Coding and Documentation, Revenue Integrity

Use this observation code crosswalk to train staff on the pending changes.

Clear outlook: Assessing the 2023 IPPS final rule

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is complying with CMS’ latest requirements for hospital inpatient billing and reimbursement.

Leverage CDI and coding account reconciliation for compliance and education improvement

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Coding and Documentation, Revenue Integrity

Take a fresh look your CDI/coding reconciliation process and apply these tips for improving it.

Best Practices for Tracking and Resolving Claim Edits

Mon, 09/26/2022 - 13:22
White Papers
Billing and Claims, Coding and Documentation, NAHRI Leadership Council

The 2022 NAHRI Leadership Council Survey Part 2 examines claim edit patterns, pre-billing processes, and top payer trends.

In addition to clinical areas, the last two years of the COVID-19 pandemic also introduced massive disruption to the revenue cycle, skewing billing processes and...

AMA announces new CPT codes for bivalent COVID-19 vaccine boosters

Wed, 09/14/2022
Revenue Integrity Insider
Coding and Documentation, News

The American Medical Association (AMA) released eight Current Procedural Terminology (CPT®) codes for Moderna and Pfizer-BioNTech’s updated COVID-19 vaccine booster doses. These boosters are adapted for the BA.4 and BA.5 omicron subvariants.

2023 surprise billing final rule implements the No Surprises Act

Wed, 09/07/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Policies and Procedures, Revenue Integrity

HHS recently released final rules for implementing components of the No Surprises Act. These rules expand upon several provisions of the July 2021 and October 2021 interim final rules regarding the qualified payment amount and the federal independent dispute resolution process.

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