Revenue Integrity Insider

CMS provides telehealth update amid government shutdown

Wednesday, October 8, 2025
Billing and Claims, News

CMS provided organizations and contractors with initial instructions for submitting and processing telehealth claims as the government shutdown continues.Read More »

NAHRI Journal - Volume 9, Issue 4

Embracing change: AI applications in revenue integrity

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Learn how revenue integrity leaders are applying and preparing for advanced technology.Read More »

NAHRI Journal - Volume 9, Issue 4

2026 MPFS proposed rule: Reshaping professional reimbursement

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

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.Read More »

NAHRI Journal - Volume 9, Issue 4

340B Clawback

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

Gain insights into CMS' proposals for the 340B drug discount program.Read More »

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 »

Revenue Integrity Insider

Revenue integrity professionals strengthen their knowledge and network at 2025 RIS

Wednesday, October 1, 2025
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals came together for two days of empowering learning and networking at the 2025 Revenue Integrity Symposium (RIS).Read More »

NAHRI Journal - Volume 9, Issue 4

2026 OPPS proposed rule: CMS sets the stage for reimbursement transformation

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

Gain expert insights into the potential impact of major changes to reimbursement and regulations.Read More »

NAHRI Journal - Volume 9, Issue 4

Cross-functional efforts to improve resources and ensure clean claims

Wednesday, October 1, 2025
Billing and Claims, Coding and Documentation, Denials and Appeals, Policies and Procedures, Program Management, Revenue Integrity

Apply these lessons to reduce denials and support efficient processes.Read More »

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