Articles

Revenue Integrity Insider

2027 IPPS proposed rule: Payment updates, expanded CJR model

Wednesday, April 15, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, News, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. Read More »

Revenue Integrity Insider

CMS changes course in CY 2027 MA and Part D rate announcement

Wednesday, April 8, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, News, Coding and Documentation

CMS recently issued the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rate announcement, which outlines upcoming changes to payment rates, risk adjustment policies, and more. Read More »

NAHRI Journal - Volume 10, Issue 2

Download the April 2026 issue of the NAHRI Journal

Wednesday, April 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how to set the stage for your revenue integrity success.Read More »

NAHRI Journal - Volume 10, Issue 2

Setting the stage for your success

Wednesday, April 1, 2026
Revenue Integrity

Set the stage for your success.Read More »

NAHRI Journal - Volume 10, Issue 2

From silos to synergy: Driving DNFB reduction through revenue integrity leadership

Wednesday, April 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Chargemaster and Charge Capture

Michael de Armas, MSHIA, CPC, CRCR, CSBI, shares tips for reducing DNFB through revenue integrity leadership.Read More »

NAHRI Journal - Volume 10, Issue 2

Learning how to be a TEAM player

Wednesday, April 1, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Coding and Documentation

Understand revenue integrity’s role in CMS’ TEAM program.Read More »

NAHRI Journal - Volume 10, Issue 2

Integrity in policy: The fundamentals of charge reconciliation policies

Wednesday, April 1, 2026
Policies and Procedures, Revenue Integrity, Program Management, Chargemaster and Charge Capture

Use these expert tips to develop and refine a sound charge reconciliation policy.Read More »

NAHRI Journal - Volume 10, Issue 2

Case study: Consolidating vendors after an EHR transition

Wednesday, April 1, 2026
Revenue Integrity, Program Management

Gain insights into how one organization eliminated duplication and improved vendor management.Read More »

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