CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).Read More »
Hospitals will need to prepare for a new mandatory bundled payment model and significant changes to coding and billing for certain new technologies, social determinants of health (SDOH), and more, according to the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) final rule.Read More »
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 »
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 »
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 »
