Revenue Integrity Insider

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

Wednesday, November 5, 2025
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...Read More »

Revenue Integrity Insider

Q&A: ADR response timelines

Wednesday, October 29, 2025
Ask NAHRI, Monitoring and Audits, Policies and Procedures

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

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

Download the October 2025 issue of the NAHRI Journal

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

Put your commitment to excellence into action.Read More »

Revenue Integrity Insider

Revenue integrity professionals strengthen their knowledge and network at 2025 RIS

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals came together for two days of empowering learning and networking at the 2025 Revenue Integrity Symposium (RIS).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 »

NAHRI Journal - Volume 9, Issue 4

2026 OPPS proposed rule: CMS sets the stage for reimbursement transformation

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

Gain expert insights into the potential impact of major changes to reimbursement and regulations.Read More »

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