2019 MPFS: Review and refresh your processes

Thu, 01/03/2019
NAHRI Journal - Volume 3, Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.Read More »

Site-neutral payment policies move ahead in 2019 OPPS final rule

Thu, 01/03/2019
NAHRI Journal - Volume 3, Issue 1
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how payment policy changes, C-APC changes, and more will impact your organization.Read More »

2019 NCCI update impacts billing and coding for spinal procedures, laboratory testing

Mon, 12/10/2018
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

CMS recently released the 2019 NCCI Policy Manual for Medicare Services, which includes updates to payment policies and coding...Read More »

Q&A: Billing for wound debridement and skin substitute application

Wed, 11/28/2018
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Revenue Integrity

Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (...Read More »

Bridging the gap: Three steps to integrating EHR reporting for newly acquired facilities

Wed, 11/28/2018
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Program Management, Revenue Integrity

Ease the EHR transition and prevent revenue loss by working with IT and revenue cycle leaders to create reporting solutions.Read More »

Physician Query Form

Wed, 11/21/2018 - 11:13
Policies & Procedures
Coding and Documentation, Policies and Procedures, Revenue Integrity

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

Query Activity Trending Form

Wed, 11/21/2018 - 11:09
Policies & Procedures
Coding and Documentation, Revenue Integrity

Customize this sample query activity trending form for use at your organization.

NAHRI leadership and revenue integrity experts share news, analysis, and insight during quarterly call

Wed, 11/14/2018
Revenue Integrity Insider
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Revenue Integrity

NAHRI members tuned in for expert analysis of new and upcoming changes including inpatient admission order requirements, appropriate use criteria...Read More »

OIG recommends CMS launch inpatient rehabilitation facility preauthorization demonstration

Wed, 11/07/2018
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved...Read More »

Think outside the box to solve medical necessity denials for laboratory services

Wed, 10/31/2018
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Revenue Integrity

Innovative solutions and a team approach transform recurrent problems into lasting success.Read More »

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