Q&A: Applying charges for therapy across different payers

Wed, 10/30/2019
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Compliance, Revenue Integrity

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?

Download the October 2019 issue of the NAHRI Journal

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

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

Did you know ‘it’s the law?’

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Coding and Documentation, Compliance, Revenue Integrity

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

OPPS proposed rule floats far-reaching changes

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

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

Prior authorization for select services

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the potential impact of CMS' prior authorization proposals.

Note from the speaker: Learn the ins and outs of AUCs from the experience of a major academic medical center

Wed, 07/31/2019
Revenue Integrity Insider
Billing and Claims, Compliance, Revenue Integrity

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.

Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

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

The ABCs of the AUC process: Are you ready?

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Compliance, Revenue Integrity

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

Transparent pricing may be closer to opaque for hospitals

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Chargemaster and Charge Capture, Compliance, Revenue Integrity

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

Get ahead of AUC reporting requirements

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Learn what you need to do now to ensure seamless Appropriate Use Criteria reporting.

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