Revenue Integrity Insider

2027 OPPS proposed rule: Hospitals could face major cuts to payments, more complex price transparency rules

Wednesday, July 8, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, News, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (...Read More »

NAHRI Journal - Volume 10, Issue 3

A bigger picture: A closer look at CMS’ 2027 IPPS proposed rule

Wednesday, July 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand the implications of the 2027 IPPS proposed rule.Read More »

NAHRI Journal - Volume 10, Issue 3

Evaluating the impact of skin substitute payment reform in 2026: What revenue integrity teams should consider

Wednesday, July 1, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand how recent changes to skin substitute payments affect processes.Read More »

NAHRI Journal - Volume 10, Issue 3

Code it, charge it, bill it: MACs double down on HCPCS Level II requirements

Wednesday, July 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Compliance, Coding and Documentation

Brush up on the latest coding and billing guidance for HCPCS Level II codes.Read More »

NAHRI Journal - Volume 10, Issue 3

Dissecting the impact of the IPO list elimination

Wednesday, July 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how the elimination of the inpatient-only list could affect hospitals.Read More »

Revenue Integrity Insider

MEDPAC issues report to Congress on Medicare payment policies

Wednesday, July 1, 2026
Reimbursement and Payment Methodologies, News

The Medicare Payment Advisory Commission (MEDPAC) recently released its annual June report to Congress, highlighting issues across the Medicare program that affect payment policies and care delivery.Read More »

NAHRI Journal - Volume 10, Issue 3

Download the July 2026 issue of the NAHRI Journal

Wednesday, July 1, 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

Set revenue integrity in motion.Read More »

Revenue Integrity Insider

Navigating today’s billing challenges

Wednesday, June 24, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Payer Contracting, Billing and Claims, Coverage, Compliance

Gain expert insights into how to successfully navigate the complexities of payers' rules for challenging patient discharges.Read More »

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