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Billing and Claims

Download the January 2026 issue of the NAHRI Journal

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Reshaping the future: 2026 OPPS final rule

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain insights into the impact of the 2026 OPPS final rule.

MS-DRG calculations set to change

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coding and Documentation, Chargemaster and Charge Capture

Understand changes to how MS-DRGs are calculated.

Skin substitute shake up

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about changes to skin substitute payments under the Outpatient Prospective Payment System.

Mapping the 2026 Medicare Physician Fee Schedule final rule

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand key provisions of the 2026 MPFS final rule.

Ambulatory Specialty Model

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about the new Ambulatory Specialty Model.

A strategic, defensible, transparent approach to pricing

Wed, 01/14/2026

NAHRI Journal - Volume 10, Issue 1

Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Chargemaster and Charge Capture

Apply these strategies to your organization’s pricing methodology.

Dissecting the 2026 OPPS Final Rule

Mon, 01/05/2026 - 09:23

Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC, analyze the 2026 OPPS final rule and provide insights on key provisions.

Continuing Education

CE evaluation link: ...

Examining the 2026 MPFS Final Rule

Mon, 01/05/2026 - 09:21

Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Amy Inch, COTA, CPC, CPMA, and Yvette DeVay, MHA, CPC, CPMA, CIC, analyze the 2026 MPFS final rule and provide insights on key coding and billing changes.

Continuing Education

CE evaluation link: ...

CMS relaunches PEPPER for short-term acute care hospitals

Wed, 12/17/2025

Revenue Integrity Insider

Billing and Claims, News, Monitoring and Audits, Compliance

CMS recently relaunched the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for short-term acute care hospitals, restoring these facilities’ access to a valuable data tool that assists with claim accuracy.

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