Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other services.
On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the federal fiscal year (FFY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. Our government reimbursement experts did the heavy lifting for you and...
The 2024 NAHRI Leadership Council uncovers trends and best practices for defining and measuring the success of revenue integrity programs and professionals.
Having the right professionals in the right positions is the keystone of a superior revenue integrity program. When leaders...
CMS issued a final rule to establish several new appeals processes for Medicare beneficiaries who want to challenge a hospital’s decision to reclassify their status.
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...
CMS added new Healthcare Common Procedure Coding System (HCPCS) codes and made status indicator (SI) and code descriptor changes for outpatient skin substitute claims.
The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.
NAHRI needs revenue integrity professionals like you to apply to the speak at the 2025 Revenue Integrity Symposium (RIS), to be held September 25-26, 2025, in Westminster, Colorado. We want to hear about your great ideas, successful programs, lessons learned, and areas of expertise!
