UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, the insurer will no longer require approval for more than 1,700 procedure codes across various plans. Read More »
A bipartisan group of senators introduced a bill in early August to clarify requirements, increase oversight, and reform the payment and data infrastructure of the 340B Drug Pricing Program. Read More »
One of the biggest operational hurdles that organizations have encountered since the first round of cuts to the IPO list has been helping physicians shift their mindset from traditional practices to new expectations, according to Stephanie Ellis, RN, BSN, COC, CHRI, CRCR, ...Read More »
Revenue integrity professionals from across the country are gathering next month, September 24-25, in Savannah, Georgia, for the 2026 Revenue Integrity Symposium (RIS) and there’s still time to join them.Read More »
In a recent letter, HHS called on the Office of Inspector General (OIG) to examine healthcare organizations’ billing of gender-affirming care provided to minors.Read More »
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.Read More »
The deadline to apply to the NAHRI Advisory Board, the Networking & Events Committee, and the Education Committee has been extended to Friday, August 21.Read More »
