Compliance

Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final rule that pushed ahead with many of the requirements originally included in the 2020 OPPS proposed rule.

Q: Our new EHR system was built using logic for therapy charging based on both the AMA and CMS eight-minute rules. Charges will generate differently based on the payer. How do others implement the eight-minute rules? How do you think using two charging methodologies in this world of price transparency will look?

Find your inspiration to stay informed and motived on your revenue integrity journey.

Valerie Rinkle, MPA, CHRI, reviews the Administrative Simplification Act and HIPAA transaction sets.

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.

Consider the potential impact of CMS' prior authorization proposals.

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.

Denise Williams, COC, CHRI, shares insight and analysis on Appropriate Use Criteria.

Clear up the confusion and mixed messages to make your hospital’s pricing and charging practices crystal clear.