News

After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.

The 2025 Revenue Integrity Symposium (RIS) features three tracks, dozens of revenue integrity experts and leaders, and a range of topics that matter the most to revenue integrity and revenue cycle professionals.

Review recent guidance on Part B coverage changes and roster billing processes for the hepatitis B vaccine and its administration.

As hospitals continue to struggle to comply with price transparency requirements, HHS has been tasked with updating guidance and enforcement actions.

The American Hospital Association (AHA) released a report to highlight how Medicare Advantage (MA) organizations create increased administrative and financial burdens for rural hospitals.

CMS published the January 2025 update of the Outpatient Prospective Payment System (OPPS), which includes changes to skin substitute codes, pass-through devices, and more.

Read the latest association news and 2025 charge description master (CDM) updates discussed during the most recent NAHRI Quarterly Call. 

Congress recently extended several key telehealth waivers and flexibilities issued during the COVID-19 public health emergency.

Review updated guidance on price transparency and newly required machine-readable file data elements.

Following the release of 2023 improper payment rate data for immunosuppressive drugs, CMS recommends that organizations brush up on compliance tips.