Revenue Integrity Insider

2027 IPPS proposed rule: Payment updates, expanded CJR model

Wednesday, April 15, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, News, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. Read More »

NAHRI Journal - Volume 10, Issue 2

Download the April 2026 issue of the NAHRI Journal

Wednesday, April 1, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how to set the stage for your revenue integrity success.Read More »

NAHRI Journal - Volume 10, Issue 2

Learning how to be a TEAM player

Wednesday, April 1, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Coding and Documentation

Understand revenue integrity’s role in CMS’ TEAM program.Read More »

NAHRI Journal - Volume 10, Issue 1

Download the January 2026 issue of the NAHRI Journal

Wednesday, January 14, 2026
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Prepare to meet the future.Read More »

NAHRI Journal - Volume 10, Issue 1

Mapping the 2026 Medicare Physician Fee Schedule final rule

Wednesday, January 14, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand key provisions of the 2026 MPFS final rule.Read More »

NAHRI Journal - Volume 10, Issue 1

Reshaping the future: 2026 OPPS final rule

Wednesday, January 14, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain insights into the impact of the 2026 OPPS final rule.Read More »

NAHRI Journal - Volume 10, Issue 1

Skin substitute shake up

Wednesday, January 14, 2026
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about changes to skin substitute payments under the Outpatient Prospective Payment System.Read More »

Revenue Integrity Insider

MACs withdraw final LCDs for certain skin substitutes

Wednesday, January 7, 2026
Reimbursement and Payment Methodologies, News, Coverage

Review a recent update regarding final local coverage determinations (LCD) for certain skin substitute products.Read More »

Pages