Revenue Integrity Week, to be held June 5–9, is just around the corner. This annual week of recognition for revenue integrity professionals is the perfect opportunity to acknowledge your colleagues and the incredible work they do to support their organizations.
NAHRI is currently accepting applications for three open positions on its Advisory Board. If you’ve wanted an opportunity to make strong connections, provide feedback and guidance on the direction of NAHRI and industry needs, and give back to the revenue integrity community, now's your chance.
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.
CMS' fiscal year IPPS proposed rule includes proposals to increase hospital payments, ICD-10-CM/PCS code updates, and adjustments to new technology add-on payments. The proposed rule also covers potential updates to quality reporting and other programs.
HHS published an FAQ to clarify how the COVID-19 public health emergency (PHE) conclusion, which is expected to occur on May 11, will impact coverage of testing, treatment, and preventive services.
CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.
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).
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.
