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 »

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

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

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

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

Review the final requirements effective October 1 and ensure your organization is in compliance.Read More »

Modifier -CS: Clarity and confusion

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

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.Read More »

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wed, 10/07/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies...Read More »

Q&A: Documentation standards for prior authorization

Wed, 08/26/2020
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Compliance, Coverage, Revenue Integrity

Q: Is there a national standard for what documentation must be submitted to Medicare Administrative Contractors (MAC) when requesting prior...Read More »

Download the July 2020 issue of the NAHRI Journal

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Discover how core revenue integrity strengths can help overcome today’s challenges.Read More »

Keeping up with CMS’ COVID-19 rules and guidance

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Use these strategies to stay informed on evolving COVID-19 billing and reimbursement rules.Read More »

Official resources

Wed, 07/01/2020
NAHRI Journal - Volume 4, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

To ensure you and your team have the most recent coding and billing guidance related to the novel coronavirus public health emergency, regularly...Read More »

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