CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wed, 03/12/2025
Revenue Integrity Insider
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.

Revenue Integrity: Optimizing Patient Care and Financial Outcomes with Cardiac CT

Thu, 03/06/2025 - 08:54
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Revenue Integrity

Join NAHRI, the Society of Cardiovascular Computed Tomography (SCCT), and the Healthcare Financial Management Association (HFMA) as they lead an in-depth conversation on how cardiac CT can improve patient outcomes while driving efficient healthcare resource utilization. This free webinar will...

NAHRI Quarterly Call - January 28, 2025

Tue, 01/28/2025 - 15:19
Quarterly Calls
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

Preventing denials for CPAP devices and accessories

Wed, 01/22/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, Denials and Appeals

Review coverage criteria and documentation tips for continuous positive airway pressure (CPAP) devices and accessories.

Download the January 2025 issue of the NAHRI Journal

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
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

Prepare for a successful year with NAHRI.

Unpacking new payment policies in CMS’ 2025 OPPS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Keeping pace with coding and billing changes in the 2025 MPFS final rule

Wed, 01/15/2025
NAHRI Journal - Volume 9, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

CMS addresses improper payment rates for immunosuppressive drugs

Wed, 01/08/2025
Revenue Integrity Insider
Coding and Documentation, Coverage, News, Revenue Integrity

Following the release of 2023 improper payment rate data for immunosuppressive drugs, CMS recommends that organizations brush up on compliance tips.

CMS issues 2026 MA and Part D proposed rule

Wed, 12/04/2024
Revenue Integrity Insider
Coverage, News, Policies and Procedures, Revenue Integrity

Review CMS' proposed policy and technical changes to Medicare Advantage (MA) and Part D programs for 2026.

CMS issues payment fixes, updates to reimbursement and more in 2025 OPPS final rule

Wed, 11/06/2024
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

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