Q&A: Identifying opportunities for revenue integrity

Tue, 06/06/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coverage, Payer Contracting, Program Management, Revenue Integrity

Q: What are some areas of opportunity for revenue integrity?

Comply With CAH Telehealth Reporting Guidelines

Fri, 06/02/2023 - 16:42
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, and Jennifer Campbell, CMPE, CPC, CPB, discuss how rural health clinic (RHC) and critical access hospital (CAH) may charge for telehealth services, what documentation is necessary, and more.

Prior Authorization for Hospital Services: Utilization Control or Compliance Initiative?

Fri, 06/02/2023 - 16:38
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Revenue Integrity

Kimberly A. Hoy, JD, CPC, covers the ins and outs of the prior authorization program for hospital outpatient services.

Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

Fri, 06/02/2023 - 16:35
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Revenue Integrity

Jerilyn Morrissey, MD, clears up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers.

Navigating the end of PHE waivers and flexibilities on the April NAHRI Quarterly Call

Wed, 04/26/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, News, Program Management, Revenue Integrity

NAHRI members learned about the latest association news, tips for managing the unwinding of COVID-19 public health emergency (PHE) waivers, and more on the April 25 NAHRI Quarterly Call.

NAHRI Quarterly Call - April 25, 2023

Tue, 04/25/2023 - 15:22
Quarterly Calls
Billing and Claims, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Listening to NAHRI Quarterly Conference 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...

Download the April 2023 issue of the NAHRI Journal

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Map a course to revenue integrity success.

Significant Medicare PHE extensions and adjustments

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services in hospitals, CAHs, RHCs, FQHCs, and physician services.

Significant Medicare PHE extensions and adjustments: Physician services

Wed, 04/12/2023 - 09:31
Policies & Procedures
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services for physician services.

Significant Medicare PHE extensions and adjustments: Rural health clinics and Federally Qualified Health Centers

Wed, 04/12/2023 - 09:30
Policies & Procedures
Billing and Claims, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Use these charts to identify extensions and end dates for COVID-19 public health emergency (PHE) waivers and flexibilities and effected services in rural health clinics and Federally Qualified Health Centers.

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