2021 OPPS proposed rule: CMS looks to eliminate inpatient-only list, increase 340B payment cuts

Wed, 08/05/2020
Revenue Integrity Insider
News, Revenue Integrity

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before.Read More »

2021 ICD-10-CM guidelines offer clarity, detail on reporting COVID-19 and manifestations

Wed, 07/15/2020
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

The guidelines are effective October 1 and highlights include new instructions for reporting manifestations of novel coronavirus (COVID-19),...Read More »

Federal judge upholds price transparency rule

Wed, 06/24/2020
Revenue Integrity Insider
Chargemaster and Charge Capture, Compliance, News, Revenue Integrity

A federal judge dismissed the American Hospital Association’s challenge to CMS' Hospital Price Transparency Requirements final rule. The final...Read More »

2020 Revenue Integrity Symposium canceled due to COVID-19 concerns

Fri, 06/19/2020
Revenue Integrity Insider
News

NAHRI has made the difficult decision to cancel our fifth annual Revenue Integrity Symposium, originally scheduled to take place October 6–7 at...Read More »

The Revenue Integrity Show: Clean-up on Aisle [COVID] 19 (June 18)

Submitted by jfitzgerald@hcp... on Thu, 06/18/2020 - 16:13

June 18 - Clean-up on Aisle [COVID] 19 

Featuring:

  • Sarah L Goodman, MBA, CHCAF, COC, CCP, FCS, President/CEO, SLG, Inc.
  • Kay Larsen, CRCR, CHRI, Revenue Integrity Specialist, Adventist Health Glendale

Agenda:

This episode of the Revenue Integrity Show will address the aftermath and follow-up of the numerous COVID-19 changes impacting revenue integrity in the facility setting over the past few months.

 

Revenue Integrity Week drawing winners announced

Wed, 06/10/2020
Revenue Integrity Insider
News, Revenue Integrity

Revenue Integrity Week is in the books! We hope you enjoyed your own Revenue Integrity Investigations throughout the week. If not, it’s never too...Read More »

CMS clarifies use of catastrophe-related modifier and condition code

Wed, 06/10/2020
Revenue Integrity Insider
Billing and Claims, News, Revenue Integrity

CMS released new guidance and clarification on the use of modifier -CR (catastrophe/disaster related) and condition code DR (disaster related) in...Read More »

FY 2021 IPPS proposed rule includes 600 potential code changes

Wed, 05/20/2020
Revenue Integrity Insider
Coding and Documentation, News, Revenue Integrity

CMS released the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule May 11, which includes just shy of 600 ICD-10-CM...Read More »

2021 IPPS proposed rule: MS-DRG changes and new requirements to report negotiated charges

Wed, 05/13/2020
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, News, Reimbursement and Payment Methodologies

CMS’ fiscal year (FY) 2021 Inpatient Prospective Payment System (IPPS) proposed rule, released May 11, proposes new price transparency...Read More »

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