CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions for drugs purchased under the 340B discount pricing program by nonexcepted PBDs.
The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for reporting E/M visits and removing certain process measures under the Quality Payment Program (QPP).
When we first set out to research the revenue integrity profession more than a year ago, we didn’t know quite where it would take us. Revenue integrity titles and departments were becoming more common in the healthcare industry, and we sought to understand the needs and roles of this profession so we could create solutions that would help its members succeed.
Use this white paper to learn about a new CMS calculation for uncompensated care, presenting both an opportunity and a compliance risk for Disproportionate Share Hospitals.
In honor of the due diligence and dedication of revenue integrity professionals, NAHRI is pleased to announce Revenue Integrity Week. This is a national week of recognition for revenue integrity professionals, to be held June 3–9, 2018. Join us in celebrating your profession and your achievements.
NAHRI kicked off the new year by hosting its first quarterly members-only call, which featured insights from board members on hot topics revenue integrity professionals should keep on their radar this year.
If you or your peers are interested in becoming NAHRI charter members, our member justification letter can help you get the buy-in you need to from program administrators at your facility.
