Revenue Integrity Insider

OIG: Medicare’s bundled payments for OUD treatments are inaccurate

Wednesday, October 15, 2025
Billing and Claims, Coding and Documentation, Monitoring and Audits, News, Reimbursement and Payment Methodologies

Medicare could have saved over $300 million if bundled payments for opioid use disorder (OUD) treatments more accurately reflected the services provided, according to a recent Office of Inspector General (OIG) audit report.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

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

IPO on the cutting block again

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

Understand the implications of the potential elimination of the inpatient-only (IPO) list.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 »

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 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

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 »

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