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.

Ensuring appropriate coding and documentation for skin substitute claims

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

Ensure your organization is in compliance with coding and documentation requirements for skin substitute claims.

CMS launches new model to test prior authorization improvements

Wed, 07/02/2025
Revenue Integrity Insider
Billing and Claims, Compliance, Coverage, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS recently announced it will partner with companies specializing in enhanced technologies to test improvements to prior authorization processes via a new Innovation Center model.

CMS publishes 2025 Q3 update for NCCI edit files

Wed, 06/18/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, News

CMS posted the third quarter National Correct Coding Initiative (NCCI) edit files, which will take effect on July 1. 

How to keep up with changing rules and regulations

Wed, 06/11/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.

Breaking Down the 2026 IPPS Proposed Rule

Fri, 06/06/2025 - 17:55
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, analyzes major proposals of the 2026 Inpatient Prospective Payment System (IPPS) proposed rule. This webinar is an edited version of the full, 60-minute program.

Q&A: Claim edit focus areas

Fri, 06/06/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Program Management, Revenue Integrity

Q: What are some of the things you’re currently focusing on for claim edits?

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