To address organizations' recent coding concerns regarding hypoglossal nerve stimulators, CMS plans to add several new HCPCS codes to the April 2026 Integrated Outpatient Code Editor (I/OCE) update.Read More »
Review upcoming changes to modifier -AX reporting requirements and other end-stage renal disease (ESRD) and acute kidney injury (AKI) billing instructions.Read More »
While physician advisors (PA) and revenue integrity staff have separate roles and responsibilities, they share many of the same goals, says Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV, system medical director of utilization management at ChristianaCare in Newark, Delaware....Read More »
The NAHRI Leadership Council is conducting a research survey on charge reconciliation policies and workflows. Your feedback is greatly appreciated. You can complete the brief survey at https://www.surveymonkey.com/r/MNYTKR9.
CMS recently provided Method II critical access hospitals (CAH) with updated billing requirements for professional emergency services performed in the emergency department.Read More »
CMS updated guidance for Federally Qualified Health Centers (FQHC) to reflect new payment rates, coding changes, and other policy updates in the calendar year 2026 Medicare Physician Fee Schedule final rule.Read More »
