Heightened and increasing complex payer denial activity are putting growing pressure on hospitals. With major shifts in reimbursement, and the growing costs of simply keeping the doors open and caring for patients, denials are just one more obstacle hospitals face. But fortunately, it’s one that...
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.
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...
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.
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.
