Most hospitals are noncompliant with CMS’ Hospital Price Transparency final rule, according to a study published June 14 in JAMA. Out of...Read More »
CMS boosted Medicare payment for COVID-19 vaccines administered in the patient’s home to $75 per dose, the agency announced June 9. Prior to June...Read More »
Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement...Read More »
Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue...Read More »
Amy Tepp, CPA, reflects on how key traits of revenue integrity departments—dedication and teamwork—have helped the profession adapt in an evolving...Read More »
NAHRI Advisory Board membet Caroline Znaniec, MBA, MS-HCA, will clear up the confusion surrounding pricing transparency.
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.
Two CPT® codes are temporarily suspended from the prior authorization program for hospital outpatient departments, CMS announced.Read More »
NAHRI’s April 27 Quarterly Call explored the impact of physician advisors on revenue integrity, wound care coding tips, and the latest association...Read More »
Learn how to use NAHRI resources and CMS and HIPAA requirements to appeal inappropriate charge denials.Read More »