How to interpret PEPPER data

Fri, 10/16/2026
Leadership Council Insider
Revenue Integrity, Billing and Claims, NAHRI Leadership Council, Monitoring and Audits

Understanding PEPPER is the first step in using it effectively.  Julie Hall, EHRC, CRCR, COC, co-founder and principal consultant

October 2026 OPPS update includes new codes, payment rates

Wed, 10/14/2026
Revenue Integrity Insider
Reimbursement and Payment Methodologies, Billing and Claims, News, Coding and Documentation, Chargemaster and Charge Capture

CMS published the October 2026 update to the Outpatient Prospective Payment System (OPPS), which includes changes to codes, status indicators, and payment rates.

CMS announces participants in CJR-X model

Wed, 10/07/2026
Revenue Integrity Insider
Reimbursement and Payment Methodologies, Billing and Claims, News

CMS has named the 2,217 acute care hospitals that are required to participate in its upcoming Comprehensive Care for Joint Replacement Expanded (CJR-X) model.

Download the October 2026 issue of the NAHRI Journal

Wed, 10/07/2026
NAHRI Journal - Volume 10, Issue 4
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Shaping the future of revenue integrity.

Keeping up with the 2027 IPPS final rule

Wed, 10/07/2026
NAHRI Journal - Volume 10, Issue 4
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain a deeper understanding of the impact of key provisions of the final rule.

Analyzing the 2027 OPPS proposed rule

Wed, 10/07/2026
NAHRI Journal - Volume 10, Issue 4
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how CMS’ proposed changes for outpatient services could affect your hospital.

2027 MPFS proposed rule poses major shifts to physician reimbursement

Wed, 10/07/2026
NAHRI Journal - Volume 10, Issue 4
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Evaluate CMS’ major proposed changes to professional reimbursement.

The return of PEPPER: How to get the most out of the report

Wed, 10/07/2026
NAHRI Journal - Volume 10, Issue 4
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Compliance

Use these expert tips to ensure you’re getting the most benefit from PEPPER.

When Virtual Care Meets Federal Oversight: Avoiding Audit Risk

Fri, 10/02/2026 - 15:06
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

The OIG (Office of Inspector General) and Medicare Administrative Contractors (MACs) are heavily scrutinizing telehealth, remote patient monitoring (RPM), remote therapeutic monitoring (RTM), and communication-based services because of rapid Medicare spending growth and fraud concerns. Current...

Dissecting the FY 2027 IPPS Final Rule

Fri, 10/02/2026 - 15:03
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS issues an annual Inpatient Prospective Payment System (IPPS) final rule to outline key changes to Medicare payment policies for inpatient services in the upcoming fiscal year (FY). This program will help listeners understand the finalized FY 2027 payment rates, as well as other significant...

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