NAHRI Journal - Volume 9, Issue 3

Download the July 2025 issue of the NAHRI Journal

Wednesday, July 9, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.Read More »

Revenue Integrity Insider

July 2025 OPPS update includes vaccine, skin substitute coding changes

Wednesday, July 9, 2025
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the July 2025 update of the Outpatient Prospective Payment System (OPPS) to communicate coding and billing changes that took effect on July 1.Read More »

NAHRI Journal - Volume 9, Issue 3

Change ahead: Understanding the implications of the 2026 IPPS proposed rule

Wednesday, July 9, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Gain insights into the potential impact of proposed changes to hospital reimbursement.Read More »

Revenue Integrity Insider

CMS launches new model to test prior authorization improvements

Wednesday, July 2, 2025
Billing and Claims, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently announced it will partner with companies specializing in enhanced technologies to test improvements to prior authorization processes via a new Innovation Center model.Read More »

Revenue Integrity Insider

How to keep up with changing rules and regulations

Wednesday, June 11, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.Read More »

Revenue Integrity Insider

OIG identifies $17 billion in potential cost savings

Wednesday, May 14, 2025
Billing and Claims, Compliance, Monitoring and Audits, News, Reimbursement and Payment Methodologies, Revenue Integrity

The Office of Inspector General (OIG) highlighted several congressional actions that, if taken, could lead to $17 billion in potential cost savings across HHS programs.Read More »

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 »

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