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 »

2021 OPPS final rule starts the clock on inpatient-only elimination, adds services to prior authorization list

Wed, 12/09/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 Outpatient Prospective Payment System (OPPS) final rule, released December 2, moves ahead with most of the provisions of the proposed...Read More »

2021 MPFS final rule expands telehealth services, finalizes E/M documentation changes

Wed, 12/09/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2021 Medicare Physician Fee Schedule (MPFS) final rule, released December 2, extends certain telehealth benefits but makes cuts to the...Read More »

CMS to allow authorized hospitals to provide inpatient care in patients’ homes

Wed, 12/02/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coverage, News, Revenue Integrity

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital...Read More »

CMS approves additional payment for new COVID-19 treatments, adds price transparency requirements for diagnostic testing

Wed, 11/18/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The New COVID-19 Treatments Add-on Payment will allow additional Medicare payment for eligible hospital inpatient and outpatient cases that...Read More »

Download the October 2020 issue of the NAHRI Journal

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wed, 10/14/2020
NAHRI Journal - Volume 4, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

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