July 2025 OPPS update includes vaccine, skin substitute coding changes

Wed, 07/09/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Reimbursement and Payment Methodologies, Revenue Integrity

CMS released the July 2025 update of the Outpatient Prospective Payment System (OPPS) to communicate coding and billing changes that took effect on July 1.

Download the July 2025 issue of the NAHRI Journal

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Payer Contracting, Policies and Procedures, Program Management, Reimbursement and Payment Methodologies, Revenue Integrity

Get connected to your revenue integrity network.

Change ahead: Understanding the implications of the 2026 IPPS proposed rule

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Gain insights into the potential impact of proposed changes to hospital reimbursement.

New Medicare appeal process: Financial implications abound

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Denials and Appeals, Monitoring and Audits, Revenue Integrity

Navigate the complexities of CMS’ newest appeal process.

Preparing for the telehealth policy cliff

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Understand the latest telehealth billing and coding rules.

Building a CPT coding foundation for mental health services

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Revenue Integrity

Apply these expert tips to improve billing and coding for behavioral health claims.

Ensuring appropriate coding and documentation for skin substitute claims

Wed, 07/09/2025
NAHRI Journal - Volume 9, Issue 3
Billing and Claims, Coding and Documentation, Compliance, Coverage, Revenue Integrity

Ensure your organization is in compliance with coding and documentation requirements for skin substitute claims.

Preparing for government payer audit activity

Tue, 06/17/2025
Leadership Council Insider
Coding and Documentation, Compliance, Monitoring and Audits, NAHRI Leadership Council, Revenue Integrity

The Office of Inspector General (OIG) is expected to release reports on several key topics in 2025 and beyond, and revenue integrity professionals

How to keep up with changing rules and regulations

Wed, 06/11/2025
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, Compliance, Coverage, Payer Contracting, Policies and Procedures, Reimbursement and Payment Methodologies, Revenue Integrity

Learn how to stay current with and navigate changing reimbursement rules and regulations to protect revenue and avoid compliance pitfalls.

Breaking Down the 2026 IPPS Proposed Rule

Fri, 06/06/2025 - 17:55
Webinars
Billing and Claims, Coding and Documentation, Compliance, Coverage, Reimbursement and Payment Methodologies, Revenue Integrity

Kimberly A. Hoy, JD, CPC, analyzes major proposals of the 2026 Inpatient Prospective Payment System (IPPS) proposed rule. This webinar is an edited version of the full, 60-minute program.

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