Diving into the 2024 IPPS final rule

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how CMS’ reimbursement and compliance changes for inpatient hospitals could affect your organization.

2024 OPPS proposed rule: Price transparency back in the spotlight

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze CMS’ payment proposals for outpatient hospital services.

2024 MPFS proposed rule: Striking a balance between gains and losses

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.

Alzheimer’s medication approval brings revenue integrity challenges

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.

Defining NCCI edits and their role in correct coding

Wed, 10/04/2023
NAHRI Journal - Volume 7, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Consider how to use NCCI edits to improve coding and reduce denials.

Q&A: Billing E/M services for LWBS patients

Wed, 09/13/2023
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?

NAHRI Council Report - Efficiency Redefined: How Revenue Cycle Automation Is Reshaping Financial Processes

Fri, 08/25/2023 - 09:39
Council Resources
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, NAHRI Leadership Council, Program Management, Revenue Integrity

2023 NAHRI Leadership Council reveals hospitals are embracing robust partnerships and solutions to automate priority areas like charge capture and edits.

Automation has emerged as a driving force in hospital revenue cycle management, equipping healthcare organizations...

CMS moves ahead with DSH cuts and other payment changes in 2024 IPPS final rule

Fri, 08/18/2023
Leadership Council Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, NAHRI Leadership Council, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the

2024 IPPS final rule finalizes DSH payments cuts and coding changes

Wed, 08/09/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with most of its proposed changes, including cuts to disproportionate share hospital (DSH) payments, in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule.

CMS releases guidance on pre-entitlement billing

Wed, 07/26/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies

CMS released compliance tips for pre-entitlement billing in a recent edition of its MLN Connects® newsletter. The agency instructed providers to use these billing instructions for inpatient admissions when the patient is admitted before their Medicare Part A entitlement date and discharged after that date.

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