Revenue Integrity

Calling all revenue integrity experts: NAHRI is currently seeking speakers for the 2022 Revenue Integrity Symposium (RIS), to be held September 19–20 in Phoenix, Arizona.

The AMA updated its Current Procedural Terminology (CPT^®) code set to add a new code for booster doses of Johnson & Johnson’s (J&J) COVID-19 vaccine.

The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.

The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.

Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?

Prevention is better than a cure, but that’s often easier said than done when it comes to denials. Use these expert tips to develop a denials strategy that puts the focus on data and collaboration.

The new CPT^® codes will become effective if the FDA issues approval or emergency use authorization for Pfizer’s two-dose COVID-19 vaccine in children ages five to 11.