Revenue Integrity Insider

Report: Key trends impacting hospital financial stability in 2025

Wednesday, May 7, 2025
News, Program Management, Reimbursement and Payment Methodologies

A recent American Hospital Association report examines the current financial pressures facing hospitals and health systems. Read More »

Revenue Integrity Insider

Skin substitute coding changes in the April 2025 OPPS update

Wednesday, April 30, 2025
Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently published the April 2025 Outpatient Prospective Payment System (OPPS) update to highlight coding changes for skin substitute products that took effect on April 1.Read More »

Revenue Integrity Insider

2026 IPPS proposed rule: CMS proposes payment updates, mulls significant changes to numerous programs

Wednesday, April 16, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.Read More »

Revenue Integrity Insider

CMS issues CY 2026 MA and Part D final rule, rate announcement

Wednesday, April 9, 2025
Coverage, Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

Assess key policy and technical changes to Medicare Advantage (MA) and Part D programs for contract year (CY) 2026.Read More »

NAHRI Journal - Volume 9, Issue 2

Download the April 2025 issue of the NAHRI Journal

Wednesday, April 2, 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

Create your recipe for revenue integrity success.Read More »

NAHRI Journal - Volume 9, Issue 2

Revenue integrity Q&A: Solutions to billing and coding questions

Wednesday, April 2, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Use these expert tips to solve your revenue integrity questions.Read More »

Revenue Integrity Insider

CMS expands hepatitis B vaccination coverage, authorizes roster billing

Wednesday, March 12, 2025
Billing and Claims, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.Read More »

Revenue Integrity Insider

AHA report details MA plans’ impact on rural hospitals

Wednesday, February 26, 2025
Denials and Appeals, News, Reimbursement and Payment Methodologies, Revenue Integrity

The American Hospital Association (AHA) released a report to highlight how Medicare Advantage (MA) organizations create increased administrative and financial burdens for rural hospitals.Read More »

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