Using CMS and NAHRI resources to address charge denials

Wed, 04/07/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »

Download the April 2021 issue of the NAHRI Journal

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Explore the revenue integrity universe.Read More »

The influence of revenue integrity

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, looks at recent regulatory changes that fall under revenue integrity’s influence.Read More »

Implementing the new era of price transparency

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Learn how revenue integrity leaders helped their organizations meet the new requirements and what next steps they’re planning.Read More »

Charting the operational impact of eliminating the IPO

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the far-reaching financial and operational impacts of sunsetting the inpatient-only (IPO) list.Read More »

Six tips for improving hospital price transparency compliance

Wed, 03/24/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

NAHRI Advisory Board member Caroline Znaniec, MBA, MS-HCA, shares how hospitals can identify and improve compliance with price transparency rules...Read More »

In concert: A team-based approach to price transparency compliance

Wed, 03/17/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

Preparing to comply with CMS’ Hospital Price Transparency final rule was no mean feat for revenue integrity professionals, and an already...Read More »

Taking a closer look at updates to the inpatient-only list, price transparency

Wed, 03/03/2021
Revenue Integrity Insider
Coding and Documentation, Compliance, Revenue Integrity

On the latest episode of The Revenue Integrity Show: A NAHRI Podcast, listeners were treated to in-depth discussions on two of the hottest topics...Read More »

CMS: Most PBDs fail to qualify for exception

Wed, 02/10/2021
Revenue Integrity Insider
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet...Read More »

CMS publishes FAQs on market-based MS-DRG data collection

Wed, 01/27/2021
Revenue Integrity Insider
Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently released FAQs clarifying how it will collect data on market-based MS-DRG relative weights and changes to its methodology for...Read More »

Pages