Articles

NAHRI Journal - Volume 9, Issue 4

MS-DRG proposals revived

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about potential changes to MS-DRGs in the 2026 Outpatient Prospective Payment System proposed rule.Read More »

NAHRI Journal - Volume 9, Issue 4

340B Clawback

Wednesday, October 1, 2025
Billing and Claims, Reimbursement and Payment Methodologies, Revenue Integrity

Gain insights into CMS' proposals for the 340B drug discount program.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS proposed rule: Reshaping professional reimbursement

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS: Ambulatory Specialty Model

Wednesday, October 1, 2025
Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the proposed new ambulatory specialty model in the 2026 Medicare Physician Fee Schedule proposed rule.Read More »

NAHRI Journal - Volume 9, Issue 4

Embracing change: AI applications in revenue integrity

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Learn how revenue integrity leaders are applying and preparing for advanced technology.Read More »

NAHRI Journal - Volume 9, Issue 4

Governmental audits: Ensuring a thorough, timely reply

Wednesday, October 1, 2025
Compliance, Monitoring and Audits, Policies and Procedures, Program Management, Revenue Integrity

Use these tips to improve audit processes and outcomes.Read More »

NAHRI Journal - Volume 9, Issue 4

Cross-functional efforts to improve resources and ensure clean claims

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Denials and Appeals, Policies and Procedures, Program Management, Revenue Integrity

Apply these lessons to reduce denials and support efficient processes.Read More »

Revenue Integrity Insider

Build your network and move your career forward with the NAHRI Leadership Council

Wednesday, October 1, 2025
News, Program Management, Revenue Integrity

Looking for a strong platform for revenue integrity leaders to network and learn? The NAHRI Leadership Council is your answer. The deadline to apply for the 2026 term is now extended through Wednesday, October 15.Read More »

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