Appropriate Use Criteria: Understanding the Requirements and Impact

Thu, 06/03/2021 - 11:57
Webinars
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

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.

CMS removes two codes from prior authorization list

Wed, 05/19/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.

Association updates, the revenue integrity value of physician advisors, and wound care coding tips on April’s Quarterly Call

Wed, 05/12/2021
Revenue Integrity Insider
Coding and Documentation, Compliance, Denials and Appeals, Program Management, Revenue Integrity

NAHRI’s April 27 Quarterly Call explored the impact of physician advisors on revenue integrity, wound care coding tips, and the latest association updates.

Using CMS and NAHRI resources to address charge denials

Wed, 04/07/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Policies and Procedures, Revenue Integrity

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

Download the April 2021 issue of the NAHRI Journal

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Explore the revenue integrity universe.

The influence of revenue integrity

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Billing and Claims, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

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

Implementing the new era of price transparency

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Chargemaster and Charge Capture, Compliance, Revenue Integrity

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

Charting the operational impact of eliminating the IPO

Tue, 04/06/2021
NAHRI Journal - Volume 5, Issue 2
Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

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

Six tips for improving hospital price transparency compliance

Wed, 03/24/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

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

In concert: A team-based approach to price transparency compliance

Wed, 03/17/2021
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, Revenue Integrity

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.

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