OIG releases MA compliance program guidance

Wed, 02/11/2026
Revenue Integrity Insider
Policies and Procedures, News, Monitoring and Audits, Compliance

The Office of Inspector General (OIG) released new guidance to detail key risk areas relevant to the Medicare Advantage (MA) program and provide recommendations to various parties to mitigate these risks.

NAHRI Quarterly Call - January 27, 2026

Tue, 01/27/2026 - 15:49
Quarterly Calls
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, Compliance, Chargemaster and Charge Capture

Listening to a NAHRI Quarterly Call (free for NAHRI members) qualifies for one CHRI CEU credit upon the completion of the accompanying survey. If you’re a NAHRI member and are interested in presenting on an upcoming NAHRI members-only call, please contact NAHRI at...

NAHRI Leadership Council Meeting (01-22-26)

Fri, 01/23/2026 - 09:38
Council Resources
Policies and Procedures, Revenue Integrity, Program Management, Billing and Claims, NAHRI Leadership Council, Compliance, Chargemaster and Charge Capture

The Council's agenda for the January 22, 2026 meeting was:

  • NAHRI Leadership Council news and updates
  • Chargemaster management and maintenance challenges
  • Presentation: Charge Capture and Reconciliation Policy Development ―Aleah Martagon, MBA, RHIA, CRCL, middle
    • ...

Download the January 2026 issue of the NAHRI Journal

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Policies and Procedures, Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Denials and Appeals, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Prepare to meet the future.

Reshaping the future: 2026 OPPS final rule

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Gain insights into the impact of the 2026 OPPS final rule.

Skin substitute shake up

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about changes to skin substitute payments under the Outpatient Prospective Payment System.

Price transparency

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Compliance, Chargemaster and Charge Capture

Review recent changes to price transparency requirements.

Mapping the 2026 Medicare Physician Fee Schedule final rule

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Billing and Claims, Coverage, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Understand key provisions of the 2026 MPFS final rule.

Ambulatory Specialty Model

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Coding and Documentation, Chargemaster and Charge Capture

Learn about the new Ambulatory Specialty Model.

A strategic, defensible, transparent approach to pricing

Wed, 01/14/2026
NAHRI Journal - Volume 10, Issue 1
Revenue Integrity, Reimbursement and Payment Methodologies, Program Management, Billing and Claims, Compliance, Chargemaster and Charge Capture

Apply these strategies to your organization’s pricing methodology.

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