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2025 MPFS final rule: CMS moves ahead with major change to physician reimbursement, skin substitute payments, and more

Wed, 11/05/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and much more.

Q&A: ADR response timelines

Wed, 10/29/2025
Revenue Integrity Insider
Ask NAHRI, Monitoring and Audits, Policies and Procedures

Q: Why is it important to respond to additional documentation requests (ADR) in a timely manner?

CMS lifts claims processing hold for certain services

Wed, 10/22/2025
Revenue Integrity Insider
Billing and Claims, News

CMS directed Medicare Administrative Contractors (MAC) to lift the claims processing hold issued earlier this month for certain services impacted by the government shutdown.

Apply to speak at the 2026 Revenue Integrity Symposium

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, News, Revenue Integrity

Tips from NAHRI's 2025 Revenue Integrity Salary Survey

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, Revenue Integrity

Join the National Association of Healthcare Revenue Integrity (NAHRI) and revenue integrity leaders from across the country on Tuesday, October 21,

How to implement AI in revenue integrity functions

Fri, 10/17/2025
Leadership Council Insider
NAHRI Leadership Council, Program Management, Revenue Integrity

Organizations have to be intentional with their AI adoption.

Practical solutions for denials management

Fri, 10/17/2025
Leadership Council Insider
Denials and Appeals, NAHRI Leadership Council, Revenue Integrity

Sourcing field-tested, reliable denials management processes is not a simple task.

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NAHRI Forums

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NAHRI Forum
Wed, 07/12/2017 - 13:31
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