Compliance

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.

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said in an August 14 letter.

Q: Is there a national standard for what documentation must be submitted to Medicare Administrative Contractors (MAC) when requesting prior authorization?

CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.