2026 MPFS proposed rule includes telehealth updates, changes to skin substitute payment

Wed, 07/16/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

Organizations may see certain telehealth flexibilities become permanent, according to the 2026 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 14. The proposed rule also details significant changes to professional reimbursement based on site of service, skin substitute payments, behavioral health services, and more.

Best practices for chargemaster management

Wed, 07/09/2025
Revenue Integrity Insider
Chargemaster and Charge Capture, Revenue Integrity

Apply these best practices and expert tips to chargemaster management.

July 2025 OPPS update includes vaccine, skin substitute coding changes

Wed, 07/09/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the July 2025 update of the Outpatient Prospective Payment System (OPPS) to communicate coding and billing changes that took effect on July 1.

Download the July 2025 issue of the NAHRI Journal

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.

Your revenue integrity network

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.

The critical role of collaboration between revenue integrity and managed care contracting

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Denials and Appeals, Monitoring and Audits, Payer Contracting, Program Management, Revenue Integrity

Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.

Change ahead: Understanding the implications of the 2026 IPPS proposed rule

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Gain insights into the potential impact of proposed changes to hospital reimbursement.

New Medicare appeal process: Financial implications abound

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Navigate the complexities of CMS’ newest appeal process.

Preparing for the telehealth policy cliff

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the latest telehealth billing and coding rules.

Building a CPT coding foundation for mental health services

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Apply these expert tips to improve billing and coding for behavioral health claims.

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