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

New Medicare appeal process: Financial implications abound

Wednesday, July 9, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Navigate the complexities of CMS’ newest appeal process.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 »

NAHRI Journal - Volume 9, Issue 3

Preparing for the telehealth policy cliff

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

Understand the latest telehealth billing and coding rules.Read More »

NAHRI Journal - Volume 9, Issue 3

Building a CPT coding foundation for mental health services

Wednesday, July 9, 2025
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Apply these expert tips to improve billing and coding for behavioral health claims.Read More »

NAHRI Journal - Volume 9, Issue 3

Ensuring appropriate coding and documentation for skin substitute claims

Wednesday, July 9, 2025
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Ensure your organization is in compliance with coding and documentation requirements for skin substitute claims.Read More »

Leadership Council Insider

Preparing for government payer audit activity

Tuesday, June 17, 2025
Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals can learn more about these upcoming audits in the Work Plan item descriptions. For example, the OIG may detail what organizations will be included in...Read More »

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