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...
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.
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...
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...
The Office of Inspector General (OIG) recently conducted an audit to identify potential vulnerabilities in the Medicare program that could be contributing to improper payments for virtual check-in and e-visit services.
On Wednesday, June 3, 1-2 p.m. Eastern, join NAHRI and our panel of revenue integrity leaders and experts to gain insights into how you can set the stage for revenue integrity success! Taking data from NAHRI's 2026 State of the Revenue Integrity Industry Survey, we'll look at current and...
The Council's agenda for the March 19, 2026 meeting was:
•Presentation: How to optimize systems to involve clinicians in denials and use data to drive improvement ―Gopi Astik, MD, MS, medical director, Northwestern Memorial Hospital...
