Reimbursement and Payment Methodologies

Gain expert insights into the potential impact of major changes to reimbursement and regulations.

Understand the implications of the potential elimination of the inpatient-only (IPO) list.

Learn about potential changes to MS-DRGs in the 2026 Outpatient Prospective Payment System proposed rule.

Gain insights into CMS' proposals for the 340B drug discount program.

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.

Learn about the proposed new ambulatory specialty model in the 2026 Medicare Physician Fee Schedule proposed rule.

Review recent billing and coding updates concerning critical care, telehealth, and other evaluation and management (E/M) services.

Revenue integrity professional should take note of recent updates to CMS’ Medicare Preventive Services educational tool.

Most hospitals may see slightly higher payments for inpatient services than expected for fiscal year 2026, according to the 2026 Inpatient Prospective Payment System (IPPS) final rule. The final rule, released July 31, details payment updates for inpatient hospital services, changes to the low wage index hospital policy, and adjustments to numerous quality and reporting programs.