CMS updates payment allowance and billing instructions for new Novavax COVID-19 vaccine

Wed, 10/18/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News

CMS recently updated the national payment allowance and provided billing instructions for the new Novavax COVID-19 vaccine, authorized for patients 12 years and older.

CMS revises instructions for new POS code 27

Wed, 10/11/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Revenue Integrity

CMS recently revised its instructions for new place of service (POS) code 27, which is used to report services provided to unsheltered homeless individuals.

Download the October 2023 issue of the NAHRI Journal

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your connection to inspiration and innovation.

Diving into the 2024 IPPS final rule

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how CMS’ reimbursement and compliance changes for inpatient hospitals could affect your organization.

2024 OPPS proposed rule: Price transparency back in the spotlight

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze CMS’ payment proposals for outpatient hospital services.

2024 MPFS proposed rule: Striking a balance between gains and losses

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.

Alzheimer’s medication approval brings revenue integrity challenges

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.

Defining NCCI edits and their role in correct coding

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Consider how to use NCCI edits to improve coding and reduce denials.

NAHRI Council Report - Revenue Cycle Automation: Defining Key Goals, Strategies, and ROI

Fri, 09/29/2023 - 13:07
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Highlights from the 2023 NAHRI Leadership Council Survey Part 2: Unraveling the essentials, benefits, and future of automation.

Hospitals and health systems have faced unprecedented challenges for several years, pushing them to rethink their revenue cycles. Factors like the pandemic and...

2023 NAHRI Leadership Council Research Series: The Rise of Revenue Cycle Automation

Fri, 09/29/2023 - 13:05
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Denials and Appeals, Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

In the 2023 NAHRI Leadership Council Survey, Utilization and Adoption of Automation in Revenue Cycle, 101 leaders, including revenue integrity, health information management (HIM), and coding directors and managers primarily from acute care hospitals and health systems with 500+ beds, assessed...

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