2021 OPPS and MPFS Q&A

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.

Modifier -CS: Clarity and confusion

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.

Good defense: Manage denial and audit activity with strong coding and documentation

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Use these tips to shore up coding and documentation for COVID-19 claims.

Sample query for COVID-19

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Revenue Integrity

Adapt this sample query for COVID-19 to your particular programmatic needs.

Sample query for COVID-19

Wed, 10/14/2020 - 10:35
Policies & Procedures
Coding and Documentation, Revenue Integrity

Adapt this sample query for COVID-19 to your particular programmatic needs.

Sample query form for sepsis

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Coding and Documentation, Revenue Integrity

Use this sample physician query form for documenting sepsis as a template for your organization.

Sample query form for sepsis

Wed, 10/14/2020 - 10:30
Policies & Procedures
Coding and Documentation, Revenue Integrity

Use this sample physician query form for documenting sepsis as a template for your organization.

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wed, 10/07/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

Note from the associate editor: Last chance to register for NAHRI Virtual Event

Wed, 09/30/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

There’s still time to register for NAHRI’s biggest event of the year! Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event kicks off in less than a week.

From October 6–­8, attendees will tune in for three jam-packed days of educational sessions, networking opportunities, and daily moderated Q&A. NAHRI members can gain full access to the event for just $179, while nonmembers can register for $199. If you want to get your entire revenue integrity department involved, NAHRI is offering the special group discount rates.

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