Coverage

2025 IPPS proposed rule: Major changes to outlier payments, NTAP, and more

Wed, 07/10/2024

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Consider how CMS’ proposed changes for 2025 could affect hospitals.

Unpack the 2024 OPPS Final Rule

Fri, 06/07/2024 - 09:48

Webinars

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, discuss the impact of CMS' changes in the 2024 Outpatient Prospective Payment System (OPPS) final rule.

Understand CMS’ New Medicare Advantage Coverage and Prior Authorization Rules

Thu, 06/06/2024 - 09:37

Webinars

Billing and Claims, Compliance, Coverage, Denials and Appeals, Payer Contracting, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, explains recent changes to prior authorization rules for Medicare Advantage payers and how they affect hospitals.

Clarifying IOP billing and coding on the April NAHRI Quarterly Call

Tue, 05/07/2024

Revenue Integrity Insider

Billing and Claims, Coding and Documentation, Coverage, Policies and Procedures, Program Management, Revenue Integrity

NAHRI members received association updates and learned about proper documentation, coding, and billing practices for Intensive Outpatient Program (IOP) services during the latest NAHRI Quarterly Call.

Get perspective on revenue integrity trends and best practices

Wed, 05/01/2024

Revenue Integrity Insider

Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, News, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Gain deeper insights into where the revenue integrity industry is now, including best practices, staffing and program models, common challenges, and solutions by registering for NAHRI’s free State of the Revenue Integrity Industry webinar on June 5.

NAHRI Quarterly Call - April 30, 2024

Tue, 04/30/2024 - 15:27

Quarterly Calls

Billing and Claims, Coding and Documentation, Coverage, Policies and Procedures, 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...