Revenue Integrity Q&A: Revenue codes, charge reconciliation, and Medicare HMO patient status rules

Wed, 06/06/2018
Revenue Integrity Insider - Volume 2 Issue 14
Ask NAHRI, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals often run across tough questions. On the NAHRI Forums, revenue integrity professionals can get advice from peers...Read More »

Q&A: Services included in room and board

Wed, 05/16/2018
Revenue Integrity Insider - Volume 2 Issue 10
Ask NAHRI, Billing and Claims, Coverage, Denials and Appeals, Revenue Integrity

Q: Is there any specific guidance on what nursing services should be included in room and board and covered under routine services?Read More »

Q&A: Pre-service coverage analysis for medical necessity

Wed, 05/02/2018
Revenue Integrity Insider - Volume 2 Issue 9
Ask NAHRI, Coverage, Monitoring and Audits, Revenue Integrity

Q: When a physician schedules a procedure, do you evaluate the patient’s record prior to the procedure to determine whether all of the coverage...Read More »

Q&A: Medicare coverage of acupuncture

Wed, 04/04/2018
Revenue Integrity Insider - Volume 2 Issue 7
Ask NAHRI, Coding and Documentation, Coverage

Q: What modifier should we report for acupuncture? Does this service fall under statutorialy excluded or non-covered services?Read More »