CMS issued a proposed rule outlining plans to place new limitations on Medicaid state-directed payments (SDP) to reduce federal costs and better align Medicaid payments with Medicare standards.
NAHRI is celebrating the ninth annual Revenue Integrity Week (June 1–5) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of revenue...
Gain expert insights into the nuances of how CMS' rules affect reimbursement and what revenue integrity can do to protect compliant revenue and adapt to changes.
CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule.
CMS recently issued the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rate announcement, which outlines upcoming changes to payment rates, risk adjustment policies, and more.
CMS extended the deadline for the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (ODACS) to April 7, giving selected hospitals an extra week to submit their data.
