NAHRI members received association updates and expert insights on the 2026 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules on the July 2025 NAHRI Quarterly Call.Read More »
Now more than ever revenue integrity leaders need a strong network to thrive and meet today’s challenges. That’s where the NAHRI Leadership Council comes in. NAHRI is accepting applications to the 2026 term of the NAHRI Leadership Council...Read More »
by Kristen Hunter, RHIA, CHRI, CCS, CPC, CPMA, CRC, CANPC, CEDC, CEMC, CRCR
In hospital outpatient billing, status indicators (SI) are essential to understanding how Medicare reimburses services under the Outpatient Prospective Payment System (OPPS). These indicators carry...Read More »
Organizations may see certain telehealth flexibilities become permanent, according to the 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 14. The proposed rule also details significant changes to professional reimbursement based on site of service, skin substitute...Read More »
Price transparency and site neutral payments are back in the spotlight in the 2026 Outpatient Prospective Payment System (OPPS) proposed rule, released July 15. The proposed rule also sees CMS reviving efforts to eliminate the inpatient-only list. It also includes changes to skin substitute...Read More »