NAHRI Journal - Volume 9, Issue 4

MS-DRG proposals revived

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about potential changes to MS-DRGs in the 2026 Outpatient Prospective Payment System proposed rule.Read More »

NAHRI Journal - Volume 9, Issue 4

Download the October 2025 issue of the NAHRI Journal

Wednesday, October 1, 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

Put your commitment to excellence into action.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 IPPS final rule: Reimbursement updates and measure shake-ups

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about new requirements and reimbursement changes.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS: Ambulatory Specialty Model

Wednesday, October 1, 2025
Reimbursement and Payment Methodologies, Revenue Integrity

Learn about the proposed new ambulatory specialty model in the 2026 Medicare Physician Fee Schedule proposed rule.Read More »

Revenue Integrity Insider

CMS updates guidance on E/M services

Wednesday, September 17, 2025
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Review recent billing and coding updates concerning critical care, telehealth, and other evaluation and management (E/M) services.Read More »

Revenue Integrity Insider

CMS clarifies billing and coding requirements for preventive services

Wednesday, August 20, 2025
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professional should take note of recent updates to CMS’ Medicare Preventive Services educational tool.Read More »

Revenue Integrity Insider

2026 IPPS final rule: Payment increase and changes to reporting requirements

Wednesday, August 6, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Most hospitals may see slightly higher payments for inpatient services than expected for fiscal year 2026, according to the 2026 Inpatient Prospective Payment System (IPPS) final rule. The final rule, released July 31, details payment updates for inpatient hospital services, changes to the low...Read More »

Revenue Integrity Insider

Analyzing the 2026 OPPS and MPFS proposed rules on the July Quarterly Call

Wednesday, July 30, 2025
News, Reimbursement and Payment Methodologies, Revenue Integrity

NAHRI members received association updates and expert insights on the 2026 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules on the July 2025 NAHRI Quarterly Call.Read More »

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