Members of NAHRI’s Professional Advocacy Committee offered insight on changes to price transparency and strategies for charge reconciliation following association updates on NAHRI’s January 28 Quarterly Call.
Several Medicare claims for trastuzumab multi-dose vials billed over the last three years failed to comply with Medicare requirements in part due to the improper application of modifier -JW (drug amount discarded/not administered to any patient), according to a study reported in the January 2020 Medicare Quarterly Provider Compliance Newsletter.
Planning is underway for the Fifth Annual Revenue Integrity Symposium, and this is one event you won’t want to miss taking an active role in. This year, we gather October 6–7, 2020, in Westminster (Denver), Colorado. RIS is NAHRI’s national conference—your chance to gather with likeminded professionals from across the country to make lasting connections while learning the latest strategies to excel in your career. And what better way to showcase your passion for revenue integrity and your ever-evolving skillset than getting up on stage and presenting to an audience of your peers.
The American Hospital Association (AHA) and the Association of American Medical Colleges (AAMC) recently filed a lawsuit against the Department of Health and Human Services (HHS) for continuing to reduce payments for hospital outpatient services provided in grandfathered, off-campus provider-based departments (PBD) in the fiscal year 2020 Outpatient Prospective Payment System final rule.
The Transparency in Coverage Proposed Rule comment period has been extended from January 14 to January 29, CMS announced. The proposed rule would require insurers to provide personalized price estimates and publish negotiated in-network rates and historical payment information.
IT support is a crucial part of a charge error correction process. Learn how one revenue integrity department took a team approach with IT to find success.
