CMS breaks telehealth barriers for COVID-19: Home visits allowed, co-pays

Tue, 03/24/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Coverage, News

Providers will find immediate opportunity to provide virtual visits to patients enrolled in Medicare plans as CMS seeks to facilitate screening and treatment of novel coronavirus (COVID-19) cases through telehealth services and implement billing guidance for these visits.

CMS issues billing instructions for COVID-19 related waivers, payment rates for diagnostic tests, and code updates

Wed, 03/18/2020
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.

Download the January 2020 issue of the NAHRI Journal

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Face the changes and evolve with revenue integrity.

2020 OPPS final rule: Finding the balance

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how new policies and requirements will affect your organization.

2020 MPFS final rule: Keep up with shifting regulations

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a comprehensive look at the changes for this year.

Thinking local: Revenue integrity and Medicaid

Wed, 01/01/2020
NAHRI Journal - Volume 4, Issue 1
Billing and Claims, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to establish revenue integrity best practices for Medicaid populations.

Download the October 2019 issue of the NAHRI Journal

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Payer Contracting, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your inspiration to stay informed and motived on your revenue integrity journey.

OPPS proposed rule floats far-reaching changes

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the major proposed changes, including far-reaching and complex price transparency requirements.

Prior authorization for select services

Tue, 10/01/2019
NAHRI Journal - Volume 3, Issue 4
Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider the potential impact of CMS' prior authorization proposals.

Download the July 2019 issue of the NAHRI Journal

Wed, 07/10/2019
NAHRI Journal - Volume 3, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to make the connections that will lead you to revenue integrity success with this issue of the quarterly NAHRI Journal.

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