Revenue integrity professionals should develop a solid understanding of billing, coding, and eligibility requirements for mental health services, says Joy Krush, RHIT, CCS, CCS-P, CDIP, healthcare senior consulting manager at Eide Bailly LLP in Bismarck, North Dakota.
Most hospitals may see slightly higher payments for inpatient services than expected for fiscal year 2026, according to the 2026 Inpatient Prospective Payment System (IPPS) final rule. The final rule, released July 31, details payment updates for inpatient hospital services, changes to the low...Read More »
Price transparency and site neutral payments are back in the spotlight in the 2026 Outpatient Prospective Payment System (OPPS) proposed rule, released July 15. The proposed rule also sees CMS reviving efforts to eliminate the inpatient-only list. It also includes changes to skin substitute...Read More »
Organizations may see certain telehealth flexibilities become permanent, according to the 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 14. The proposed rule also details significant changes to professional reimbursement based on site of service, skin substitute...Read More »
