CMS raises some COVID-19 vaccine payments as HHS issues reminder of billing rules

Wed, 06/16/2021
Revenue Integrity Insider
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

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 »

High-cost novel cell and gene therapies: The time for action is now!

Fri, 06/11/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement...Read More »

Line item removal of cardiac implants: Revenue integrity’s next challenge

Wed, 06/09/2021
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Compliance, Coverage, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, examines recent changes to commercial payer prior authorization requirements and how it affects revenue...Read More »

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.Read More »

CMS updates telehealth list, cautions organization to pay attention to billing rules

Wed, 04/21/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News, Revenue Integrity

CMS released an updated list of Medicare telehealth services while cautioning organizations to pay close attention to telehealth billing rules.Read More »

Tackling COVID-19 Vaccination Billing Challenges: A System Approach (April 8, 2021)

Submitted by jfitzgerald@hcp... on Thu, 04/08/2021 - 15:47

Topic: Tackling COVID-19 Vaccination Billing Challenges: A System Approach

Featuring:

  • Melissa Deuel, System Manager, Charge Master, CommonSpirit Health
  • Christian S. Gabriel, National Director of Revenue Integrity, CommonSpirit Health
  • Marie Garcia, System Manager, Revenue Integrity, CommonSpirit Health
  • Kay Larsen, CRCR, CHRI, Revenue Integrity Specialist, Adventist Health Glendale

 

Download the January 2021 issue of the NAHRI Journal

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Get a fresh perspective on revenue integrity for the new year.Read More »

Navigating PHE telehealth changes and Hospitals Without Walls

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Christian S. Gabriel breaks down CMS’ expanded coverage for hospital outpatient telehealth.Read More »

2021 MPFS final rule: Charting a new path for E/M and telehealth

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at the revenue integrity impact of CMS’ changes to telehealth and E/M.Read More »

2021 OPPS final rule: Inpatient-only list eliminated, prior authorization expanded

Wed, 01/13/2021
NAHRI Journal - Volume 5, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the ins and outs of CMS’ major new policies.Read More »

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