2027 OPPS proposed rule: Hospitals could face major cuts to payments, more complex price transparency rules

Wed, 07/08/2026
Revenue Integrity Insider
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, News, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

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.

Download the July 2026 issue of the NAHRI Journal

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Set revenue integrity in motion.

Rethinking charge capture: How team design can unlock focus and revenue opportunity

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management, Compliance, Chargemaster and Charge Capture

Tiffany LaPlante, RMC, RMM, share how team design can unlock focus and revenue opportunity.

A bigger picture: A closer look at CMS’ 2027 IPPS proposed rule

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand the implications of the 2027 IPPS proposed rule.

Dissecting the impact of the IPO list elimination

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn how the elimination of the inpatient-only list could affect hospitals.

Rethinking the middle revenue cycle: Aligning coding, charging, and the EHR—without losing control

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Coding and Documentation, Chargemaster and Charge Capture

Apply these tips to improve work queue management.

Evaluating the impact of skin substitute payment reform in 2026: What revenue integrity teams should consider

Wed, 07/01/2026
NAHRI Journal - Volume 10, Issue 3
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand how recent changes to skin substitute payments affect processes.

Unpacking the 2027 IPPS Proposed Rule

Thu, 06/25/2026 - 10:07
Webinars
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Monitoring and Audits, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

CMS issues an annual Inpatient Prospective Payment System (IPPS) proposed rule, which details proposed changes to Medicare inpatient coding and billing.

During this 60-minute webinar, expert speakers Kimberly A. Hoy, JD, CPC, and Teri Rice, MSN, MHA, MBA, RN, CHC...

A Collaborative and Proactive Approach to CMS Changes

Thu, 06/04/2026 - 13:24
Webinars
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

During this 60-minute webinar, expert speakers Sarah Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Kay Larsen, CHRI, will define the roles of everyone involved in proactively managing CMS updates, including the charge description master (CDM) coordinator. They...

2026 State of the Revenue Integrity Industry Report

June 1, 2026
Industry Report
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Payer Contracting, Billing and Claims, Monitoring and Audits, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

NAHRI is celebrating the ninth annual Revenue Integrity Week (June 1–5) to acknowledge and raise awareness of revenue integrity professionals’ incredible contributions in the healthcare industry. To further support the goals and mission of revenue integrity and advance the development of revenue...

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