Improving Accuracy in Your Revenue Cycle by Moving Interventions Upstream

Tue, 01/30/2018 - 09:50
White Papers
Coding and Documentation, Reimbursement and Payment Methodologies

Documentation and coding accuracy are more important than ever, but myriad issues prevent providers from assessing and addressing issues...

Planning for the year ahead: A look at the 2018 OPPS final rule

Wed, 01/17/2018
NAHRI Journal - Volume 2 Issue 1
Coding and Documentation, Compliance, Policies and Procedures, Revenue Integrity

New year, new payment system updates. It’s time to ensure...Read More »

Q&A: Reporting IV infusions

Wed, 01/10/2018
Revenue Integrity Insider - Volume 2 Issue 1
Ask NAHRI, Coding and Documentation, Revenue Integrity

Q: Are we able to report the IV infusions performed in the emergency department under revenue code 0450? Or do we have to report it under revenue...Read More »

What it takes to launch Epic

Wed, 11/29/2017
Revenue Integrity Insider - Volume 1 Issue 15
Chargemaster and Charge Capture, Coding and Documentation, Program Management, Revenue Integrity

Considering developing a new revenue integrity team? Imagine trying to do just that and implement the Epic EMR concurrently.Read More »

Q&A: G0364 add-on code

Wed, 11/29/2017
Revenue Integrity Insider - Volume 1 Issue 16
Ask NAHRI, Coding and Documentation, Revenue Integrity

Q: Is G0364 an add-on code requiring a primary procedure code of 38221?Read More »

Multiple Procedure Modifier Grid

Wed, 11/29/2017 - 11:04
Policies & Procedures
Billing and Claims, Coding and Documentation, Policies and Procedures, Revenue Integrity

Use this sample resource from RestorixHealth as a guide to understanding when to bundle procedures.

Q&A: Additional documentation requests

Wed, 11/15/2017
Revenue Integrity Insider - Volume 1 Issue 14
Ask NAHRI, Coding and Documentation, Monitoring and Audits, Revenue Integrity

Q: What is the best way to handle an additional documentation request for a pre-payment targeted probe and educate audit issue? Read More »

Holding your clinical staff accountable

Wed, 11/15/2017
Revenue Integrity Insider - Volume 1 Issue 14
Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

In the game of tug of war, will it be clinical or revenue integrity staff members who stand up to the challenge? When it comes to charge capture,...Read More »

2018 OPPS final rule: CMS to cut 340B drug program payments by 22.5%, hospitals plan litigation

Thu, 11/02/2017
Coding and Documentation, News, Policies and Procedures, Revenue Integrity

Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel,the agency is moving forward with its...Read More »

Proper documentation of certification forms for extended care

Wed, 10/04/2017
Revenue Integrity Insider - Volume 1 Issue 11
Coding and Documentation, Revenue Integrity

You've heard it a million times before: if it isn't documented, it isn't done. This adage is applicable to many aspects of healthcare, including...Read More »

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