NAHRI members received association updates and learned about provisions in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule that could impact revenue integrity professionals during the July NAHRI Quarterly Call.Read More »
The American Medical Association (AMA) assigned a new provisional CPT product code for vaccines to protect patients against the H5N8 strain of the bird flu.Read More »
Revenue integrity leaders looking to make an impact on the professional fee side of their organizations need to understand the unique opportunities and challenges of a professional fee revenue integrity program, as well as the special coding, billing, and reimbursement rules. To make the case to...Read More »
Organizations could see a flood of new codes along with significant changes to the Medicare Shared Savings Program (MSSP) and coverage of telehealth services, according the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule.Read More »
CMS is considering a significant change to how it pays for certain high-cost radiopharmaceuticals, as well as a sweeping new set of Conditions of Participation (CoPs) aimed at maternal health, and a slew of other changes in the 2025 Outpatient Prospective Payment System (OPPS)...Read More »
