Now more than ever revenue integrity leaders need a strong network to thrive and meet today’s challenges. That’s where the NAHRI Leadership Council comes in. NAHRI is accepting applications to the 2026 term of the NAHRI Leadership Council through September 29.
NAHRI members received association updates and expert insights on the 2026 Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules on the July 2025 NAHRI Quarterly Call.
Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...
Hospitals are reinventing their approach to denials to meet today’s challenges—and get ahead of future shifts in payer tactics. They know that the payer landscape has undergone a tremendous shift in recent years, with Medicare Advantage (MA) overtaking traditional Medicare in many markets and...
Price transparency and site neutral payments are back in the spotlight in the 2026 Outpatient Prospective Payment System (OPPS) proposed rule, released July 15. The proposed rule also sees CMS reviving efforts to eliminate the inpatient-only list. It also includes changes to skin substitute payments, further reductions to offset increased payments for non-drug items and services as a result of the vacated 340B policy, and a slew of other changes affecting reimbursement, reporting programs, compliance, and coverage.
