Revenue Integrity Insider

HHS releases IDR proposed rule

Wednesday, November 1, 2023
Billing and Claims, Compliance, Denials and Appeals, News, Revenue Integrity

HHS released a proposed rule on October 27 regarding the federal independent dispute resolution (IDR) process for the No Surprises Act. The rule focuses on early communication between payers and providers, the open negotiation period, batching, eligibility, administrative fee structure, and...Read More »

NAHRI Journal - Volume 7, Issue 4

2024 MPFS proposed rule: Striking a balance between gains and losses

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Dig into he details of CMS’ latest proposals for professional fee reimbursement and coverage.Read More »

NAHRI Journal - Volume 7, Issue 4

2024 OPPS proposed rule: Price transparency back in the spotlight

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Analyze CMS’ payment proposals for outpatient hospital services.Read More »

NAHRI Journal - Volume 7, Issue 4

Alzheimer’s medication approval brings revenue integrity challenges

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Apply these expert tips to develop processes to ensure appropriate use and billing of new Alzheimer’s medications.Read More »

NAHRI Journal - Volume 7, Issue 4

Why clear, modern room rate policies matter

Wednesday, October 4, 2023
Billing and Claims, Chargemaster and Charge Capture, Compliance, Policies and Procedures, Revenue Integrity

Denise Williams, COC, CHRI, explains why clear, modern room rates are important.Read More »

NAHRI Journal - Volume 7, Issue 4

Defining NCCI edits and their role in correct coding

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Consider how to use NCCI edits to improve coding and reduce denials.Read More »

NAHRI Journal - Volume 7, Issue 4

Diving into the 2024 IPPS final rule

Wednesday, October 4, 2023
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how CMS’ reimbursement and compliance changes for inpatient hospitals could affect your organization.Read More »

NAHRI Journal - Volume 7, Issue 4

Download the October 2023 issue of the NAHRI Journal

Wednesday, October 4, 2023
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Find your connection to inspiration and innovation.Read More »

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