Download the October 2020 issue of the NAHRI Journal

Wed, 10/14/2020
NAHRI Journal - Volume 4, 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

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

Wound care: Protecting revenue takes a team approach

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Kathryn J. Noorbakhsh, RN, BSN, CPC, CPC-H, shares tips for managing revenue integrity for wound care centers.Read More »

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

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

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

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

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

Review proposed 2021 CPT changes

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

Ensure you're aware of proposed CPT® changes for 2021Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

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.Read More »

Pages