NAHRI Leadership Council Meeting (07-16-26)

Fri, 07/17/2026 - 09:19
Council Resources
Policies and Procedures, Revenue Integrity, Program Management, NAHRI Leadership Council, Compliance, Chargemaster and Charge Capture

The Council's agenda for the July 16, 2026, meeting was:

  • Council news and updates
  • Presentation: Cross-functional collaboration between revenue integrity and operations, by Sarah Pinkerman, MS, RHIA, CHRI, CRCR, senior director of HIM and revenue integrity at Children’s
    • ...

2027 OPPS proposed rule: Hospitals could face major cuts to payments, more complex price transparency rules

Wed, 07/08/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, News, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (OPPS) proposed rule.

Download the July 2026 issue of the NAHRI Journal

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Set revenue integrity in motion.

Rethinking charge capture: How team design can unlock focus and revenue opportunity

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management, Compliance, Chargemaster and Charge Capture

Tiffany LaPlante, RMC, RMM, share how team design can unlock focus and revenue opportunity.

A bigger picture: A closer look at CMS’ 2027 IPPS proposed rule

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand the implications of the 2027 IPPS proposed rule.

Don’t leave money on the table: Solving out-of-network and zero-balance recovery

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Billing and Claims, Monitoring and Audits, Compliance

Gain insights into how to optimize systems and shore up revenue.

Dissecting the impact of the IPO list elimination

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how the elimination of the inpatient-only list could affect hospitals.

Rethinking the middle revenue cycle: Aligning coding, charging, and the EHR—without losing control

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Coding and Documentation, Chargemaster and Charge Capture

Apply these tips to improve work queue management.

Driving excellence with KPIs

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management

Use these expert tips to effectively select and manage revenue integrity KPIs.

Code it, charge it, bill it: MACs double down on HCPCS Level II requirements

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Compliance, Coding and Documentation

Brush up on the latest coding and billing guidance for HCPCS Level II codes.

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