Nahri.org

2024 IPPS proposed rule: CMS mulls payment updates, codes …

WEBRevenue Integrity Insider. CMS is proposing a 2.8% payment increase to hospitals for fiscal year (FY) 2024, potentially increasing hospital payments by $3.3 …

Actived: Just Now

URL: https://nahri.org/articles/2024-ipps-proposed-rule-cms-mulls-payment-updates-codes-changes

CMS releases provider-specific fact sheets on PHE waivers

WEBWednesday, February 22, 2023. Revenue Integrity Insider. CMS released guidance to help providers transition out of the COVID-19 public health emergency (PHE), which is …

Category: Health Go Health

CMS releases FAQ on waivers and flexibilities ahead of PHE

WEBThe COVID-19 PHE is expected to conclude at the end of the day on May 11. To assist providers during this transition, CMS released an FAQ to clarify the …

Category: Health Go Health

Growing reach: Apply revenue integrity to physician clinics

WEBFriday, July 6, 2018. NAHRI Journal - Volume 2, Issue 3. At a growing number of hospitals, revenue integrity directors are seeing the fruits of their labor: strengthened defense …

Category: Health Go Health

2024 OPPS proposed rule: Major changes to price transparency

WEBCMS is doubling down on price transparency compliance and enforcement, according to the 2024 Outpatient Prospective Payment System (OPPS) proposed …

Category: Health Go Health

CMS releases IOP requirements for FQHCs and RHCs NAHRI

WEBCMS recently outlined billing, coding, and plan of care requirements for Intensive Outpatient Program (IOP) services for Federally Qualified Health Centers …

Category: Health Go Health

2024 OPPS final rule: Significant updates to hospital price

WEBHospitals need to start preparing for major changes to price transparency requirements, according to the 2024 Outpatient Prospective Payment System (OPPS) …

Category: Health Go Health

The importance of charge capture audits NAHRI

WEBFor most providers, charge capture is a prime candidate for potential issues. To identify and address those issues, providers will often conduct a charge capture …

Category: Health Go Health

2023 STATE OF THE REVENUE INTEGRITY INDUSTRY SURVEY …

WEB2023 State of the Revenue Integrity Industry Survey Report | nahri.org 3 REVENUE INTEGRITY WEEK 2023 Nearly three-quarters of respondents (73%) reported that they …

Category: Health Go Health

How to identify what payers are looking for in healthcare claims

WEBWhat payers are looking for. There is significant confusion in the industry about what documentation a commercial/managed care payer requires to approve the claim. Much …

Category: Health Go Health

What is Revenue Integrity, and how can your organization best

WEBBrought to you in partnership with: By: David Fletcher, MPH, Vice President, Innovations, Streamline Health, Inc. Ten years ago, not many hospital administrators would list …

Category: Health Go Health

2024 IPPS final rule finalizes DSH payments cuts and coding changes

WEBPayment changes. CMS finalized a 3.1% payment increase for hospitals that meet quality and reporting requirements for FY 2024, up from the 2.8% CMS floated in …

Category: Health Go Health

Defining revenue integrity NAHRI

WEBThe basis of revenue integrity is to prevent recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable …

Category: Health Go Health

Revenue integrity: Complexities, collaboration, and commitment

WEBRevenue integrity: Complexities, collaboration, and commitment. Tuesday, June 8, 2021. Revenue Integrity Insider. by Amy Tepp, CPA. Those of us who have …

Category: Health Go Health

CMS establishes new specialty codes, payment instructions for …

WEBCMS recently established specialty codes and payment instructions for two new Medicare provider types: marriage and family therapists (MFT) and mental health …

Category: Health Go Health

Best Practices for Tracking and Resolving Claim Edits NAHRI

WEBThe 2022 NAHRI Leadership Council Survey Part 2 examines claim edit patterns, pre-billing processes, and top payer trends. In addition to clinical areas, the last …

Category: Health Go Health

Revenue integrity salaries and staffing rebound

WEB40 NAHRI Journal | OCTOBER 2022 nahri.org 25% earn $70,000–$79,999 annually 23% received a 3% raise in the last year As hospitals compete for staff, make sure you don’t …

Category: Health Go Health

CMS releases billing requirements for new condition code 92

WEBCMS released billing requirements for new condition code 92, which identifies claims for Intensive Outpatient Program (IOP) services and became effective …

Category: Health Go Health

Boards and Committees NAHRI

WEBChristian S. Gabriel, National Director of Revenue Integrity at CommonSpirit Health, Dublin, California [email protected] Gabriel is the national director of revenue …

Category: Health Go Health

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