White House intends to end PHE on May 11

Wed, 02/01/2023
Revenue Integrity Insider
Coverage, News, Policies and Procedures, Revenue Integrity

The Biden administration announced its intention to extend the COVID-19 public health emergency (PHE) until May 11 and end it on that date. Read More »

Download the January 2023 issue of the NAHRI Journal

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Look ahead to a bright future in revenue integrity.Read More »

Preparing for the end of PHE waivers and facility E/M changes

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Program Management, Revenue Integrity

Ronald Hirsch, MD, FACP, CHCQM, CHRI, shares tips for preparing for the end of emergency waivers.Read More »

Weighing gains and losses in the 2023 OPPS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ changes will affect hospital reimbursement.Read More »

Unlocking key changes in the 2023 MPFS final rule

Wed, 01/18/2023
NAHRI Journal - Volume 7, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure you’re complying with new rules for billing and coding.Read More »

Advocacy in Action: Commenting on Proposed Rules

Wed, 01/04/2023 - 17:07
White Papers
Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

 In this position paper, the NAHRI Advisory Board breaks down the steps involved in writing and submitting comments on proposed rules and policy changes and discusses why this activity is essential for revenue integrity professionals.

2023 OPPS final rule reduces some payments to offset restored 340B reimbursement

Wed, 11/09/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS finalized a higher-than-proposed payment increase that was almost erased for most non-drug services to offset ending reduced reimbursement for...Read More »

2023 MPFS final rule eliminates E/M observation codes, extends telehealth waivers

Wed, 11/09/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is moving ahead with major changes to evaluation and management (E/M) services, telehealth, coverage of dental services, and more in the 2023...Read More »

Download the October 2022 issue of the NAHRI Journal

Wed, 10/05/2022
NAHRI Journal - Volume 6, 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

Reach your destination by planning for revenue integrity success.Read More »

2023 OPPS proposed rule: Hospital reimbursement in the balance

Wed, 10/05/2022
NAHRI Journal - Volume 6, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the financial impact of CMS’ proposals for outpatient hospital payments.Read More »

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