Denials rarely start at the payer. They often begin upstream, in the gaps between clinical, financial and quality workflows, where teams may be aligned in purpose but disconnected by process. In this fireside chat healthcare leaders...
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
CMS is considering fundamental changes to how it pays for professional services, according to the 2027 Medicare Physician Fee Schedule (MPFS) proposed rule. The proposed rule, released July 14, describes numerous potential changes to payments, codes, coverage, and more.
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.
