CMS releases hospital price transparency enforcement update

Wed, 05/03/2023
Revenue Integrity Insider
Compliance, Monitoring and Audits, News, Policies and Procedures, Revenue Integrity

CMS released a fact sheet on its updated enforcement processes for the Hospital Price Transparency rule. 

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...

OIG to audit CMS’ use of remote patient monitoring services

Wed, 04/19/2023
Revenue Integrity Insider
Billing and Claims, Compliance, Monitoring and Audits, News, Revenue Integrity

The Office of Inspector General (OIG) announced it will audit CMS’ use of remote patient monitoring services. The review will focus on the nature of these services, as well as the characteristics of Medicare enrollees who use them.

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.

Current and upcoming trends in payer audit activity

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Denials and Appeals, Monitoring and Audits, Revenue Integrity

Learn what claims are coming under heightened payer scrutiny and how to prepare for increased audit activity.

Refresh and reset: Tips for interdepartmental denials resolution

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Apply these tips to improve your organization’s denial management program.

Refresh the basics of Anti-Kickback Statute compliance

Wed, 04/12/2023
NAHRI Journal - Volume 7, Issue 2
Compliance, Monitoring and Audits, Revenue Integrity

Brush up on the essentials of Anti-Kickback compliance including safe harbors.

It’s all about the data: Tracking trends in healthcare claims

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

Get ahead of denials by making strategic use of data.

OIG identifies over $200 million in potential overpayments for drug testing services

Wed, 03/15/2023
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, News

Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).

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