Clinical research studies can offer enormous benefits for patients and provider organizations. But managing charges and submitting claims for clinical research can throw a curveball at revenue integrity teams. Without efficient charge and edit management processes, revenue integrity could find itself striking out.
More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives during our second members-only quarterly call on April 24.
CMS released the fiscal year (FY) 2019 IPPS proposed rule on Tuesday, April 24, with an overhaul of the Meaningful Use program and significant reductions to reporting requirements for quality initiatives, along with updates to payment rates.
Q: Over the last few weeks, there have been quite a few articles in various newsletters about device credits. I’m not sure we have the best process in place to identify recalls and under-warranty replacements so I took a look. In the first account I reviewed, I found an item from a St. Jude recall. When I shared my findings with my compliance officer, the response was, “Why are you looking?” Should I not look?
Audits are a check-up for revenue integrity. Skipping a regular audit, like skipping an annual exam, can lead to larger, more costly problems down the line—and a lack of proper auditing and remediation in one department can easily spread problems to related departments.
New year, new payment system updates. It’s time to ensure you and your team are prepared for 2018, and a good place to start is by fully grasping the impact of the 2018 Outpatient Prospective Payment System (OPPS) final rule.
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