How to develop a transparent approach to hospital pricing

Fri, 01/16/2026
Leadership Council Insider
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, NAHRI Leadership Council

Hospital pricing strategies will continue to evolve in response to reimbursement updates, increasing costs, and affordability concerns.

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.

Reshaping the future: 2026 OPPS final rule

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain insights into the impact of the 2026 OPPS final rule.

MS-DRG calculations set to change

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coding and Documentation, Chargemaster and Charge Capture

Understand changes to how MS-DRGs are calculated.

Skin substitute shake up

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about changes to skin substitute payments under the Outpatient Prospective Payment System.

Price transparency

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Compliance, Chargemaster and Charge Capture

Review recent changes to price transparency requirements.

Mapping the 2026 Medicare Physician Fee Schedule final rule

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand key provisions of the 2026 MPFS final rule.

Ambulatory Specialty Model

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about the new Ambulatory Specialty Model.

A strategic, defensible, transparent approach to pricing

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Chargemaster and Charge Capture

Apply these strategies to your organization’s pricing methodology.

MACs withdraw final LCDs for certain skin substitutes

Wed, 01/07/2026
Revenue Integrity Insider
Reimbursement and Payment Methodologies, News, Coverage

Review a recent update regarding final local coverage determinations (LCD) for certain skin substitute products.

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