Coverage

CMS recently published an MLN fact sheet to detail Medicare Part B and D coverage, claims, and payment for diabetes supplies.

NAHRI is excited to announce the release of the 2024 Revenue Integrity Symposium (RIS) agenda. RIS, to be held September 12–13 in Oak Brook, Illinois, has expanded to three tracks this year.

CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential billing process updates, and strategies for managing patient status changes.

NAHRI members received association updates and insights on recent Medicare Advantage regulatory changes during the January 2024 NAHRI Quarterly Call.

CMS released billing requirements for new condition code 92, which identifies claims for Intensive Outpatient Program services and became effective on January 1.

Refocus on your goals and progress.

Learn how CMS’ changes to outpatient hospital reimbursement and compliance will affect your organization.

Understand CMS' rules for reimbursement for certain dental services under the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).