Revenue Integrity Insider

2027 OPPS final rule: CMS cuts reimbursement for 340B, non-drug items and services

Wednesday, November 11, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, News, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Hospitals will be facing lower reimbursement for certain services at expected off-campus provider-based departments (PBD), 340B drugs, and non-drug items and services, according the 2027 Outpatient Prospective Payment System (OPPS) final rule.Read More »

NAHRI Journal - Volume 10, Issue 4

Download the October 2026 issue of the NAHRI Journal

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Shaping the future of revenue integrity.Read More »

NAHRI Journal - Volume 10, Issue 4

Hiring strategies: How to attract the best revenue integrity candidates

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Program Management

Gain insights into effective hiring strategies for revenue integrity roles.Read More »

NAHRI Journal - Volume 10, Issue 4

Analyzing the 2027 OPPS proposed rule

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how CMS’ proposed changes for outpatient services could affect your hospital.Read More »

NAHRI Journal - Volume 10, Issue 4

The CDM coordinator’s role in implementing CMS changes

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Program Management, Chargemaster and Charge Capture

Consider the key duties and responsibilities of CDM coordinators.Read More »

NAHRI Journal - Volume 10, Issue 4

The return of PEPPER: How to get the most out of the report

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Compliance

Use these expert tips to ensure you’re getting the most benefit from PEPPER.Read More »

NAHRI Journal - Volume 10, Issue 4

2027 MPFS proposed rule poses major shifts to physician reimbursement

Wednesday, October 7, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Evaluate CMS’ major proposed changes to professional reimbursement.Read More »

NAHRI Journal - Volume 10, Issue 4

Changes? Bring them on! Well, maybe ...

Wednesday, October 7, 2026
Revenue Integrity, Program Management, Chargemaster and Charge Capture

Kay Larsen, CHRI, share how she’s adapted to changes as her organization evolves.Read More »

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