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.

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.

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.

Evaluating the impact of skin substitute payment reform in 2026: What revenue integrity teams should consider

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

Understand how recent changes to skin substitute payments affect processes.

Unpacking the 2027 IPPS Proposed Rule

Thu, 06/25/2026 - 10:07
Webinars
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS issues an annual Inpatient Prospective Payment System (IPPS) proposed rule, which details proposed changes to Medicare inpatient coding and billing.

During this 60-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC...

Navigating today’s billing challenges

Wed, 06/24/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Payer Contracting, Billing and Claims, Coverage, Compliance

Gain expert insights into how to successfully navigate the complexities of payers' rules for challenging patient discharges.

A Collaborative and Proactive Approach to CMS Changes

Thu, 06/04/2026 - 13:24
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Sarah Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Kay Larsen, CHRI, will define the roles of everyone involved in proactively managing CMS updates, including the charge description master (CDM) coordinator. They...

2026 State of the Revenue Integrity Industry Report

June 1, 2026
Industry Report
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Payer Contracting, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

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...

CMS proposes to restrict Medicaid SDPs

Wed, 05/27/2026
Revenue Integrity Insider
Revenue Integrity, Reimbursement and Payment Methodologies, News

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.

Analyzing the compliance and reimbursement impact of OPPS and MPFS updates

Wed, 05/20/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

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.

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