Coding and Documentation

CMS creates new HCPCS code for antiviral medication

Wed, 01/19/2022

Coding and Documentation, Coverage, News, Revenue Integrity

CMS recently created a new Healthcare Common Procedure Coding System (HCPCS) code, J0248, for VEKLURY™ (remdesivir), an antiviral medication that is used to treat COVID-19.

An Upstream Solution for a Downstream Issue: Organizations Share Results

Thu, 01/13/2022 - 11:45

White Papers

Billing and Claims, Coding and Documentation

Accurate and complete...

Download the January 2022 issue of the NAHRI Journal

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get inspired by new revenue integrity concepts.

Time to reevaluate how we evaluate coding performance

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Coding and Documentation, Policies and Procedures, Program Management, Revenue Integrity

Lawrence A. Allen, MBA, CPC, CPMA, CEMA makes the case for reevaluating coding performance.

In with the new: Complying with the 2022 OPPS final rule

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a closer look at the ins and outs of complying with the 2022 OPPS final rule.

Getting perspective on the 2022 MPFS final rule

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into the details of the 2022 MPFS final rule.

New split/shared modifiers

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about CMS' new modifiers for split/shared billing.

Stick to the facts: Applying modifier -JW

Wed, 01/12/2022

NAHRI Journal - Volume 6, Issue 1

Coding and Documentation, Revenue Integrity

Review the rules and put your knowledge to the test with these exercises for applying moodier -JW.

Get Your Coding Right the First Time—Prior to Billing—with Automated Analysis from eValuator

Thu, 12/02/2021 - 18:20

White Papers

Billing and Claims, Coding and Documentation, Revenue Integrity

Optimized financial performance starts with accurately coded claims, yet far too many providers only review a small portion of cases prior to billing. This means the majority of the issues behind revenue leakage...

AMA: New codes created for COVID-19 vaccine boosters

Wed, 11/10/2021

Revenue Integrity Insider

Chargemaster and Charge Capture, Coding and Documentation, News, Revenue Integrity

The AMA updated its Current Procedural Terminology (CPT^®) code set to add a new code for booster doses of Johnson & Johnson’s (J&J) COVID-19 vaccine.

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