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 »

Experts weigh in on implications of price transparency, proposed E/M documentation and reimbursement changes

Wed, 10/17/2018
Revenue Integrity Insider
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

CMS’ latest payment system changes and the implications for 2019 and beyond made waves on day one of the 2018 Revenue Integrity Symposium in...Read More »

EHR tune-up: Refine EHR implementation and maintenance processes

Wed, 10/03/2018
NAHRI Journal - Volume 2, Issue 4
Billing and Claims, Coding and Documentation, Revenue Integrity

Avoid revenue leakage with these expert tips for EHR maintenance and updates.Read More »

OPPS and MPFS proposed rules: Far-reaching consequences could shake up reimbursement across payers

Wed, 10/03/2018
NAHRI Journal - Volume 2, Issue 4
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts analyze the potential impact of major changes proposed in the 2019 OPPS and 2019 MPFS proposed rules.Read More »

IPPS final rule: Prepare your hospitals for major changes in 2019

Wed, 10/03/2018
NAHRI Journal - Volume 2, Issue 4
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do to get ready for new requirements and reimbursement in 2019.Read More »

Finding opportunity in new benefits

Wed, 10/03/2018
NAHRI Journal - Volume 2, Issue 4
Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Valerie Rinkle explains how to analyze new covered benefits to find opportunities for your patients and your organization.Read More »

CDI and Coding: The Hidden Components of Healthcare Ratings

Tue, 09/25/2018
Coding and Documentation, Policies and Procedures

It is common knowledge that Clinical Documentation Improvement and HIM coding are integral to healthcare revenue integrity and accurate...Read More »

CPT 2019 update brings new codes for care coordination services, psychological assessments

Tue, 09/18/2018
Revenue Integrity Insider
Coding and Documentation, News

The American Medical Association (AMA) recently released the 2019 CPT Manual with 335 code changes, primarily adding care coordination...Read More »

Driving ROI: The Business Case for a Comprehensive CDI Management Solution

Thu, 09/13/2018 - 09:02
White Papers
Billing and Claims, Coding and Documentation

Clinical documentation improvement (CDI) teams are continually challenged with making the CDI process as efficient as possible, while also ensuring all queries are compliant and medical records are complete and accurate. When many of the steps in the process are still managed manually, or using...

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