June 10, 2019
News & Insights

CMS initiated an Annual Call for Measures in 2019 to allow eligible hospitals and critical access hospitals to submit proposals for new measures to be included in the Medicare Promoting Interoperability Program under the IPPS.

June 5, 2019
HIM Briefings

Put CMS’ proposed changes in perspective to see the bigger picture. Comments are due June 24, so hospitals will need to conduct a careful analysis to determine the impact of the proposed changes and submit specific feedback.

April 29, 2019
News & Insights

CMS’ fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule, released April 23, includes a proposed increase to hospital payment rates, annual ICD-10-CM/PCS code update proposals, and significant changes to complication or comorbidity (CC)/major complication or comorbidity (MCC) and Medicare-Severity Diagnosis-Related Group (MS-DRG) designations.

April 15, 2019
News & Insights

Provider participation in the BPCI Advanced program fell by 16% between October 1, 2018, and March 1, 2019, at the initiation of the risk-bearing phase of the voluntary payment program. Overall participation includes nearly 1,300 providers still participating, according to CMS.

October 1, 2018
Briefings on APCs

As coders mark the third anniversary this October of the U.S. implementation of ICD-10, its newly minted successor is waiting in the wings, nearly ready for adoption. 

October 10, 2018
HIM Briefings

Get a comprehensive analysis of MS-DRG changes for 2019.

August 22, 2018
News & Insights

NAHRI’s 2018 Revenue Integrity Symposium is fast approaching, and I am very much looking forward to what’s in store—both at the conference and in the Phoenix area where I reside. Phoenix is truly a beautiful area and the Revenue Integrity Symposium allows you to take in all it has to offer during one of the most beautiful times of year.

August 15, 2018
News & Insights

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 3, 2018
News & Insights

On Thursday, August 2, CMS released the fiscal year (FY) 2019 IPPS final rule with an overhaul of the newly coined Promoting Interoperability Programs, significant reductions to reporting requirements for quality initiatives, and updates to payment rates.

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.

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