Most hospitals are noncompliant with CMS’ Hospital Price Transparency final rule, according to a study published June 14 in JAMA. Out of a random sample of 100 hospitals, 83 were noncompliant with at least one significant requirement.
CMS boosted Medicare payment for COVID-19 vaccines administered in the patient’s home to $75 per dose, the agency announced June 9. Prior to June 9, Medicare paid $40 per dose for COVID-19 vaccines administered in the patient’s home.
Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement models.
Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue integrity.
Amy Tepp, CPA, reflects on how key traits of revenue integrity departments—dedication and teamwork—have helped the profession adapt in an evolving industry.
NAHRI Advisory Board member Denise Williams, COC, CHRI, discusses AUC reporting requirements, how to access the criteria, processes to support reporting, and how to ensure that all information is available and reported on the claim.
