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...
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...
CMS issues an annual Medicare Physician Fee Schedule (MPFS) proposed rule to introduce potential payment and policy changes related to physician services for the coming year. This program will help listeners understand the proposals and prepare for possible implementation.
CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and detail potential changes to Medicare outpatient coding and billing. This program will help listeners understand the tentative changes ahead of the final rule publication later this year.
The American Medical Association (AMA) announced the release of the 2027 Current Procedural Terminology (CPT®) code set, which includes 299 additions, 74 revisions, and 80 deletions for a variety of services.
During this 60-minute webinar, expert speakers Kimberly Hoy, JD, CPC, and Valerie Rinkle, MPH, CHRI, will explain how to navigate compliance with off-campus provider-based department (PBD) regulations, including recent changes to regulatory guidance and requirements, how to navigate deadlines...
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.
The Council's agenda for the July 16, 2026, meeting was:
Council news and updates
Presentation: Cross-functional collaboration between revenue integrity and operations, by Sarah Pinkerman, MS, RHIA, CHRI, CRCR, senior director of HIM and revenue integrity at Children’s
Attending the 2026 Revenue Integrity Symposium (RIS), to be held September 24-25 in Savannah, Georgia, is one of the most powerful ways to expand your knowledge, skills, and network. You can make the experience even more impactful by joining us for our exclusive pre-conference event, Navigating Modern Chargemaster Challenges.
Hospitals could be facing lower reimbursement for non-drug items and services, 340B drugs, excepted off-campus provider-based department (PBD) services, as well as additional price transparency and prior authorization requirements, according to CMS’ 2027 Outpatient Prospective Payment System (OPPS) proposed rule.
