Revenue Integrity Insider

Q&A: Reporting observation hour prior to admission

Wednesday, July 25, 2018
Ask NAHRI, Billing and Claims, Coding and Documentation, Revenue Integrity

Q: How do you report observation hours prior to an inpatient admission? Or do you report these?Read More »

Revenue Integrity Insider

2019 MPFS proposed rule includes updates to E/M reporting and removal of certain QPP quality measures

Thursday, July 19, 2018
Billing and Claims, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

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). Read More »

NAHRI Journal - Volume 2, Issue 3

Navigating the challenges of revenue integrity at a pediatric facility

Friday, July 6, 2018
Billing and Claims, Coding and Documentation, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Adapt to the unique revenue integrity challenges facing pediatric facilities.Read More »

NAHRI Journal - Volume 2, Issue 3

CMS’ 2019 IPPS proposed rule: Sweeping implications for revenue integrity

Friday, July 6, 2018
Billing and Claims, Coding and Documentation, Compliance, Reimbursement and Payment Methodologies, Revenue Integrity

Unpack the revenue integrity implications of the 2019 IPPS proposed rule.Read More »

NAHRI Journal - Volume 2, Issue 3

Growing reach: Apply revenue integrity to physician clinics

Friday, July 6, 2018
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Revenue Integrity

Learn how revenue integrity is branching out in physician practices.Read More »

NAHRI Journal - Volume 2, Issue 3

Revenue integrity on the cutting edge: Managing billing compliance for clinical research

Friday, July 6, 2018
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Experts share tips on setting up compliant clinical research processes.Read More »

Revenue Integrity Insider

Q&A: Billing for observation services when using condition code 44

Wednesday, June 13, 2018
Ask NAHRI, Billing and Claims, Revenue Integrity

Q: In a condition code 44 scenario, may we report and bill for observation hours (revenue code 762) prior to the order for observation?Read More »

Revenue Integrity Insider

Q&A: Billing anesthetic drugs with injection procedures

Wednesday, May 30, 2018
Ask NAHRI, Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Q: Is it true that billing anesthetic drugs with injection procedures in outpatient clinic encounters is unbundling packaged services?Read More »

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