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Revenue Integrity Insider

October 2026 OPPS update includes new codes, payment rates

Wednesday, October 14, 2026

Reimbursement and Payment Methodologies, Billing and Claims, News, Coding and Documentation, Chargemaster and Charge Capture

CMS published the October 2026 update to the Outpatient Prospective Payment System (OPPS), which includes changes to codes, status indicators, and payment rates.Read More »

NAHRI Journal - Volume 10, Issue 4

Keeping up with the 2027 IPPS final rule

Wednesday, October 7, 2026

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

Gain a deeper understanding of the impact of key provisions of the 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

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

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 »

Revenue Integrity Insider

CMS announces participants in CJR-X model

Wednesday, October 7, 2026

Reimbursement and Payment Methodologies, Billing and Claims, News

CMS has named the 2,217 acute care hospitals that are required to participate in its upcoming Comprehensive Care for Joint Replacement Expanded (CJR-X) model.Read More »

NAHRI Journal - Volume 10, Issue 4

Analyzing the 2027 OPPS proposed rule

Wednesday, October 7, 2026

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

Leadership Council Insider

Identifying revenue integrity KPIs

Friday, September 18, 2026

Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies

As Avera Health in Sioux Falls, South Dakota, embarked on a new EHR implementation, the time was right to dig into KPIs that could support and measure the new processes and workflows, according to Tim Schwasinger, CRCE, director of revenue integrity at Avera Health.

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