2022 MPFS final rule revamps split/shared visit billing, expands telehealth

Wed, 11/03/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage,...Read More »

Download the October 2021 issue of the NAHRI Journal

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
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

Scout ahead for revenue integrity opportunities.Read More »

2022 OPPS proposed rule: CMS major changes and reversals

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to regulations and reimbursement could affect your organization.Read More »

2022 MPFS proposed rule: Physician reimbursement faces steep cuts, major changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze the potential impact of CMS’ major proposed changes to physician reimbursement.Read More »

2022 IPPS final rule: CMS opts for alternative data collection, finalizes MS-DRG changes

Wed, 10/06/2021
NAHRI Journal - Volume 5, Issue 4
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Ensure your organization is in compliance with CMS’ latest requirements.Read More »

2022 MPFS proposed rule: Conversion factor cut, telehealth and AUC updates

Wed, 07/14/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 4% decrease to the Medicare conversion factor, permanent expansion of telehealth coverage for some mental health services, and...Read More »

Download the July 2021 issue of the NAHRI Journal

Wed, 07/07/2021
NAHRI Journal - Volume 5, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Reach the next level of revenue integrityRead More »

Medicare prior authorization: Understanding and applying CMS updates

Wed, 07/07/2021
NAHRI Journal - Volume 5, Issue 3
Billing and Claims, Compliance, Coverage, Revenue Integrity

Brush up on the most recent changes to Medicare’s prior authorization requirements and their operational impact.Read More »

CMS raises some COVID-19 vaccine payments as HHS issues reminder of billing rules

Wed, 06/16/2021
Revenue Integrity Insider
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

CMS boosted Medicare payment for COVID-19 vaccines administered in the patient’s home to $75 per dose, the agency announced June 9. Prior to June...Read More »

High-cost novel cell and gene therapies: The time for action is now!

Fri, 06/11/2021
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Jugna J. Shah, MPH, CHRI, discusses why innovative therapies and technologies call for innovations in existing coding, billing, and reimbursement...Read More »

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