CMS is considering a significant change to how it pays for certain high-cost radiopharmaceuticals, as well as a sweeping new set of Conditions of Participation (CoPs) aimed at maternal health, and a slew of other changes in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule.
Organizations could see a flood of new codes along with significant changes to the Medicare Shared Savings Program (MSSP) and coverage of telehealth services, according the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule.
Kimberly A. Hoy, JD, CPC, discusses how her session at the 2024 Revenue Integrity Symposium will help organizations fight back against improper Medicare Advantage denials.
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.
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.
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.
