News & Analysis

August 15, 2018
Medicare Web

It’s been one year since the National Association of Healthcare Revenue Integrity welcomed its first member and we are now more than 700 members strong. That’s more than 700 driven, dedicated individuals from across the country who have joined forces to ensure the revenue integrity profession is recognized for its unique contributions to the healthcare field.

August 8, 2018
Medicare Insider

This week’s Medicare updates include final rules for the Inpatient Prospective Payment System, Skilled Nursing Facility Prospective Payment System, Inpatient Rehabilitation Facility Prospective Payment System, and more!

July 1, 2018
Briefings on APCs

The fiscal year (FY) 2019 ICD-10-CM code update, released on June 11, includes 279 code additions, 143 revisions, and 51 invalidations. The number of changes is significantly less than the past two years, which makes me think we are getting back to the “norm” of expected yearly changes.

May 9, 2018
Medicare Insider

This week’s Medicare updates include proposed rules for the FY 2019 Skilled Nursing Facility Prospective Payment System (PPS), Inpatient Rehabilitation Facility PPS, Inpatient Psychiatric Facility PPS, and Hospice Wage Index and Payment Rate Update; the quarterly listing of Medicare program issuances; a guide on multi-payer model requests for advanced APM determinations; and more!   

May 2, 2018
Medicare Insider

This week’s Medicare updates include the release of the 2019 Inpatient Prospective Payment System proposed rule, the publication of the feedback CMS received following a request for information on initiatives to improve the quality of healthcare while reducing cost, the announcement of the new Data-Driven Patient Care Strategy, and more!

April 1, 2018
Briefings on APCs

Providers should be preparing for another rulemaking cycle from CMS as we hit April, with the IPPS rule expected to include a discussion on how the existing payment system can address new and emerging cellular and gene therapies.

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