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 »
Kimberly A. Hoy, JD, CPC, discusses how her session at the 2024 Revenue Integrity Symposium will help organizations fight back against improper Medicare Advantage denials.Read More »
CityMD, an urgent care center group, has agreed to pay over $12 million to settle alleged False Claims Act violations related to reimbursement for COVID-19 testing. Read More »
The 2024 State of the Revenue Integrity Industry Report takes a deep dive into standards and trends across the industry to highlight the work revenue integrity professionals do.Read More »
During 2024 Revenue Integrity Week, NAHRI is focused on raising awareness of the value that revenue integrity professionals bring to their organizations. By shining a light on best practices, data, and forward-thinking strategies, we can help revenue integrity professionals demonstrate...Read More »