Billing and Claims

Prepare for a successful year with NAHRI.

Michele Bear, DBA, MBA, CHRI, CRCR, CHC, CPC, shares tips on how to prevent revenue leakage.

Learn how CMS’ new policies and payments for outpatient services will affect your organization.

Stay up to date with Medicare’s new rules and reimbursement rates for physician services.

CMS recently updated guidance on Medicare’s global surgery package to provide additional information on transfer of care modifiers and new HCPCS code G0559.

Review new coding and billing requirements for advanced primary care management (APCM) services that will take effect on January 1.

CMS gave the green light to improved payments for high-cost radiopharmaceuticals and made changes to its payment calculation for cardiac CT services among other updates in the 2025 Outpatient Prospective Payment System (OPPS) final rule.

Organizations must prepare for a slew of new codes and billing updates for Part B payment, according to the 2025 Medicare Physician Fee Schedule (MPFS) final rule. The final rule, released November 1, details CMS’ numerous changes to payment rates, billable services, telehealth rules, and other services.