UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, the insurer will no longer require approval for more than 1,700 procedure codes across various plans. Read More »
A bipartisan group of senators introduced a bill in early August to clarify requirements, increase oversight, and reform the payment and data infrastructure of the 340B Drug Pricing Program. Read More »
In a recent letter, HHS called on the Office of Inspector General (OIG) to examine healthcare organizations’ billing of gender-affirming care provided to minors.Read More »
Revenue integrity professionals from across the country are gathering next month, September 24-25, in Savannah, Georgia, for the 2026 Revenue Integrity Symposium (RIS) and there’s still time to join them.Read More »
The deadline to apply to the NAHRI Advisory Board, the Networking & Events Committee, and the Education Committee has been extended to Friday, August 21.Read More »
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.Read More »
Are you a revenue integrity or revenue cycle leader who is energized by the prospect of being part of a dynamic community dedicated to peer exchange, goal achievement, and advancement of collective knowledge and best practices? NAHRI has a place for you! Apply to the upcoming term of the NAHRI...Read More »
CMS recently launched the Medicare GLP-1 Bridge, a short-term demonstration that provides eligible Part D beneficiaries with access to certain glucagon‐like peptide‐1 (GLP-1) drugs.Read More »
