2019 OPPS final rule: CMS bringing site-neutral payment cuts for 340B drugs, clinic visits

Mon, 11/05/2018
Revenue Integrity Insider - Volume 2 Issue 27
Billing and Claims, Compliance, Revenue Integrity

In the 2019 OPPS final rule, released Friday, November 2, CMS implemented several site-neutral payment policies, though the agency did delay or...Read More »

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

Wed, 10/17/2018
Revenue Integrity Insider - Volume 2 Issue 26
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 »

You’re on the clock: Getting ahead of the 60-day overpayment provision

Wed, 10/03/2018
NAHRI Journal - Volume 2 Issue 4
Compliance, Policies and Procedures, Revenue Integrity

Use these tips to understand how to calculate Medicare overpayments and deadlines.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 »

Proposed rule would eliminate ASC transfer agreement requirements

Wed, 09/19/2018
Revenue Integrity Insider - Volume 2 Issue 24
Compliance, Policies and Procedures, Revenue Integrity

The Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction proposed rule would make significant changes to the...Read More »

NAHRI’s third quarterly call offers detailed analysis of major regulatory changes

Wed, 08/08/2018
Revenue Integrity Insider - Volume 2 Issue 21
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts discussed the potential impact of the MPFS and OPPS proposed rules, 42 CFR Part 2 compliance, and more.Read More »

Use a compliance work plan to build a pattern of revenue integrity success

Wed, 07/25/2018
Revenue Integrity Insider - Volume 2 Issue 20
Billing and Claims, Coding and Documentation, Compliance, Monitoring and Audits, Revenue Integrity

Without the guidance and expertise of compliance, revenue can’t be considered truly accurate and audit-proof. By using a compliance work plan to...Read More »

2019 MPFS proposed rule includes updates to E/M reporting and removal of certain QPP quality measures

Thu, 07/19/2018
Revenue Integrity Insider - Volume 2 Issue 20
Billing and Claims, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for...Read More »

Q&A: Outpatient documentation frequency

Wed, 07/11/2018
Revenue Integrity Insider - Volume 2 Issue 19
Ask NAHRI, Coding and Documentation, Compliance, Revenue Integrity

Q: Is there a requirement that OB nurses (or other nurses) must document at least every hour while a patient is in outpatient status?Read More »

Revenue integrity on the cutting edge: Managing billing compliance for clinical research

Fri, 07/06/2018
NAHRI Journal - Volume 2 Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Experts share tips on setting up compliant clinical research processes.Read More »

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