Chargemaster and Charge Capture

CMS is considering a significant change to how it pays for certain high-cost radiopharmaceuticals, as well as a sweeping new set of Conditions of Participation (CoPs) aimed at maternal health, and a slew of other changes in the 2025 Outpatient Prospective Payment System (OPPS) proposed rule.

Organizations could see a flood of new codes along with significant changes to the Medicare Shared Savings Program (MSSP) and coverage of telehealth services, according the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule.

Celebrate your journey and acknowledge your success.

Consider how CMS’ proposed changes for 2025 could affect hospitals.

Apply these tips to start or improve revenue integrity programs for physician billing.

During 2024 Revenue Integrity Week, NAHRI is focused on raising awareness of the value that revenue integrity professionals bring to their organizations. By shining a light on best practices, data, and forward-thinking strategies, we can help revenue integrity professionals demonstrate everything they contribute to the healthcare industry.

Q: How can revenue integrity help clinical departments be accountable for charge reconciliation?

The 2024 State of the Revenue Integrity Industry Report takes a deep dive into standards and trends across the industry to highlight the work revenue integrity professionals do.