Navigating the boundaries of Medicare telehealth expansion

Thu, 03/26/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow...Read More »

CMS issues billing instructions for COVID-19 related waivers, payment rates for diagnostic tests, and code updates

Wed, 03/18/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-...Read More »

Note from the Director: Submit your RIS call for speakers application by February 3

Wed, 01/29/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Planning is underway for the Fifth Annual Revenue Integrity Symposium, and this is one event you won’t want to miss taking an active role in. This...Read More »

Comment period extended for proposed rule that would require payers to post negotiated rates

Wed, 01/15/2020
Revenue Integrity Insider
Compliance, News, Revenue Integrity

The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would...Read More »

Download the January 2020 issue of the NAHRI Journal

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Face the changes and evolve with revenue integrity.Read More »

New year, but same old regulatory conundrums?

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Jugna Shah, MPH, CHRI, looks at the impact of CMS’ most recent price transparency rules.Read More »

2020 OPPS final rule: Finding the balance

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how new policies and requirements will affect your organization.Read More »

2020 MPFS: New supervision requirements

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Review changes to supervision in the 2020 Medicare Physician Fee Schedule final rule.Read More »

A new vision for hospital price transparency

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Act now to prepare for new and expanded price transparency requirements.Read More »

File format

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Compliance, Revenue Integrity

Take a look at the file format requirements of the CY 2020 Hospital Outpatient Prospective Payment System (OPPS) Policy Changes: Hospital Price...Read More »

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