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 »

Clear outlook: Assessing the 2023 IPPS final rule

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

Ensure your organization is complying with CMS’ latest requirements for hospital inpatient billing and reimbursement.Read More »

Q&A: Billing for transplant donor services

Wed, 08/03/2022
Revenue Integrity Insider
Ask NAHRI, Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Revenue Integrity

Q: How do we to handle charges for donor-related services when the donor is an unsuccessful match? Should the charges for services provided to a...Read More »

2023 OPPS proposed rule: CMS considers options for 340B reimbursement, more prior authorization

Wed, 07/20/2022
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement in the wake of the...Read More »

2023 MPFS proposed rule: E/M changes, new codes, and payment updates

Wed, 07/13/2022
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Payment cuts are in the offing for Part B providers in 2023, along with a series of other projected changes targeting E/M services, COVID-19-...Read More »

Download the July 2022 issue of the NAHRI Journal

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
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

Focus on the people and processes that make revenue integrity work.Read More »

2023 IPPS proposed rule: Changes on the horizon

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes could affect reimbursement and revenue integrity operations.Read More »

Unnecessary observation care: As the rules change

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Revenue Integrity

Understand how to navigate evolving guidance on observation services and medical necessity.Read More »

Critical refresh: CAH and RHC billing compliance

Wed, 07/06/2022
NAHRI Journal - Volume 6, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Brush up on revenue integrity essentials for critical access hospitals and rural health clinics.Read More »

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