NAHRI Leadership Council Meeting (01-22-26)

Fri, 01/23/2026 - 09:38
Council Resources
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, NAHRI Leadership Council, Compliance, Chargemaster and Charge Capture

The Council's agenda for the January 22, 2026 meeting was:

  • NAHRI Leadership Council news and updates
  • Chargemaster management and maintenance challenges
  • Presentation: Charge Capture and Reconciliation Policy Development ―Aleah Martagon, MBA, RHIA, CRCL, middle
    • ...

Download the January 2026 issue of the NAHRI Journal

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
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.

Dissecting the 2026 OPPS Final Rule

Mon, 01/05/2026 - 09:23
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, analyze the 2026 OPPS final rule and provide insights on key provisions.

 

Continuing Education

CE evaluation link: ...

Examining the 2026 MPFS Final Rule

Mon, 01/05/2026 - 09:21
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Amy Inch, COTA, CPC, CPMA, and Yvette DeVay, MHA, CPC, CPMA, CIC, analyze the 2026 MPFS final rule and provide insights on key coding and billing changes.

 

Continuing Education

CE evaluation link: ...

NAHRI Leadership Council Meeting (11-20-25)

Fri, 11/21/2025 - 09:19
Council Resources
Billing and Claims, Coding and Documentation, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

How to assign responsibility for responding to government audits

Fri, 11/21/2025
Leadership Council Insider
Monitoring and Audits, NAHRI Leadership Council, Policies and Procedures, Program Management, Revenue Integrity

Governmental audits are handled differently at every facility, but favorable results are more likely with a strong audit response that meets all AD

2025 MPFS final rule: CMS moves ahead with major change to physician reimbursement, skin substitute payments, and more

Wed, 11/05/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and much more.

Q&A: ADR response timelines

Wed, 10/29/2025
Revenue Integrity Insider
Ask NAHRI, Monitoring and Audits, Policies and Procedures

Q: Why is it important to respond to additional documentation requests (ADR) in a timely manner?

2025 ACDIS/NAHRI Denials Management Mastermind Recap

Thu, 10/23/2025 - 09:00
Free Webinars
Policies and Procedures, Revenue Integrity, Program Management, Denials and Appeals

In a joint effort between ACDIS and NAHRI, the Denials Management Mastermind group exists to connect leaders in both the revenue integrity and CDI spaces so that they can problem-solve, network, and discuss topics relevant to their shared goals. During the 2025 term, the group met several times...

Dissecting the 2026 OPPS Proposed Rule

Thu, 10/02/2025 - 10:26
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and detail proposed changes to Medicare outpatient coding and billing. This program will help listeners understand the potential changes and prepare to implement them. During this 60-minute webinar, expert...

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