Revenue Integrity Insider

CMS to allow authorized hospitals to provide inpatient care in patients’ homes

Wednesday, December 2, 2020
Billing and Claims, Chargemaster and Charge Capture, Coverage, News, Revenue Integrity

CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital Care at Home program. Under this program, eligible hospitals will be allowed to treat certain inpatients in the patient’s home.Read More »

Revenue Integrity Insider

CMS approves additional payment for new COVID-19 treatments, adds price transparency requirements for diagnostic testing

Wednesday, November 18, 2020
Billing and Claims, Coding and Documentation, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

The New COVID-19 Treatments Add-on Payment will allow additional Medicare payment for eligible hospital inpatient and outpatient cases that involve certain new products or treatments authorized or approved for COVID-19.Read More »

NAHRI Journal - Volume 4, Issue 4

Download the October 2020 issue of the NAHRI Journal

Wednesday, October 14, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Put revenue integrity into focus to manage year end changes and ongoing challenges.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 OPPS proposed rule: Major proposals could be a mixed bag for hospitals

Wednesday, October 14, 2020
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Unravel the major proposed changes, including elimination of the inpatient-only list and expanded prior authorization requirements.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 MPFS proposed rule: Payment fluctuations and telehealth changes on the horizon

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how major changes to reimbursement and the future of telehealth services could affect your organization.Read More »

NAHRI Journal - Volume 4, Issue 4

2021 IPPS final rule finalizes shifts to market-based MS-DRG methodology

Wednesday, October 14, 2020
Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Review the final requirements effective October 1 and ensure your organization is in compliance.Read More »

NAHRI Journal - Volume 4, Issue 4

Modifier -CS: Clarity and confusion

Wednesday, October 14, 2020
Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Take a look at CMS’ recent guidance on the use of this modifier and how to navigate lingering questions.Read More »

Revenue Integrity Insider

Revenue integrity experts discuss recent CMS changes, denials management, and remote management at virtual education event

Wednesday, October 7, 2020
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Coverage, Denials and Appeals, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.Read More »

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