Compliance

The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed rule. This should come as a relief to hospitals required to implement most of its policies by January 1, 2021.

United Healthcare (UHC) recently announced that it is delaying the implementation date of its unique laboratory code policy. The policy, which was originally set to go into effect January 1, 2021, will be delayed until January 1, 2022.

The deadline to comply with CMS’ expanded price transparency requirements is almost here. Use these tips to ensure your organization is ready.

CMS recently launched a Hospital Price Transparency website to help hospitals prepare to comply with price transparency requirements effective January 1, 2021. Review the latest requirements to ensure your organization is ready to comply and learn about CMS' plans for monitoring and enforcement.

Put revenue integrity into focus to manage year end changes and ongoing challenges.

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.

Revenue integrity experts and NAHRI Advisory Board members dig into the nuances of the proposed rules.

Review the final requirements effective October 1 and ensure your organization is in compliance.

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.