2025 MPFS final rule: CMS moves ahead with major change to physician reimbursement, skin substitute payments, and more

Wed, 11/05/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Part B reimbursement is set for significant changes starting January 1, 2026, according to the 2026 Medicare Physician Fee Schedule (MPFS) final rule, released October 31. The final rule includes numerous major changes to how CMS will calculate reimbursement, updates to telehealth services, and much more.

Dissecting the 2026 OPPS Proposed Rule

Thu, 10/02/2025 - 10:26
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

CMS issues an annual Outpatient Prospective Payment System (OPPS) proposed rule to list and detail proposed changes to Medicare outpatient coding and billing. This program will help listeners understand the potential changes and prepare to implement them. During this 60-minute webinar, expert...

Breaking Down the 2026 MPFS Proposed Rule

Thu, 10/02/2025 - 10:24
Webinars
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

CMS issues an annual Medicare Physician Fee Schedule (MPFS) proposed rule to list and detail potential policy changes that could impact physician reimbursement. This program will help listeners understand the proposed changes and prepare to implement them if they become permanent. During this 60...

Revenue integrity professionals strengthen their knowledge and network at 2025 RIS

Wed, 10/01/2025
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Denials and Appeals, Monitoring and Audits, News, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Revenue integrity professionals came together for two days of empowering learning and networking at the 2025 Revenue Integrity Symposium (RIS).

Download the October 2025 issue of the NAHRI Journal

Wed, 10/01/2025
NAHRI Journal - Volume 9, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Put your commitment to excellence into action.

2026 IPPS final rule: Reimbursement updates and measure shake-ups

Wed, 10/01/2025
NAHRI Journal - Volume 9, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Learn about new requirements and reimbursement changes.

2026 OPPS proposed rule: CMS sets the stage for reimbursement transformation

Wed, 10/01/2025
NAHRI Journal - Volume 9, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Gain expert insights into the potential impact of major changes to reimbursement and regulations.

2026 MPFS proposed rule: Reshaping professional reimbursement

Wed, 10/01/2025
NAHRI Journal - Volume 9, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Understand how proposals for professional reimbursement could have far-reaching affects on clinics and hospitals.

Embracing change: AI applications in revenue integrity

Wed, 10/01/2025
NAHRI Journal - Volume 9, Issue 4
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Policies and Procedures, Program Management, Revenue Integrity

Learn how revenue integrity leaders are applying and preparing for advanced technology.

The Revenue Integrity Leader’s Guide to Autonomous Coding

Fri, 08/29/2025 - 09:30
White Papers
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Reimbursement and Payment Methodologies, Revenue Integrity

Even the most experienced revenue integrity teams face challenges when manual processes and complicated workflows create avoidable financial risk.

The Revenue Integrity Leader’s Guide to Autonomous Coding reveals how leading organizations are applying technology to strengthen...

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