Compliance

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

Explore the revenue integrity universe.

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

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

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

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

Preparing to comply with CMS’ Hospital Price Transparency final rule was no mean feat for revenue integrity professionals, and an already significant lift was made heavier by the COVID-19 pandemic. Learn how one organization used teamwork to adapt to changes in plan and meet their goals.

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 in the industry — updates to the inpatient-only list and price transparency.

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21^st Century Cures Act failed to meet the requirements and have likely received overpayments, according to CMS.

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