In a recent letter, HHS called on the Office of Inspector General (OIG) to examine healthcare organizations’ billing of gender-affirming care provided to minors.
Revenue integrity professionals from across the country are gathering next month, September 24-25, in Savannah, Georgia, for the 2026 Revenue Integrity Symposium (RIS) and there’s still time to join them.
The deadline to apply to the NAHRI Advisory Board, the Networking & Events Committee, and the Education Committee has been extended to Friday, August 21.
CMS is moving forward with it’s plans for a mandatory nationwide rollout of the Comprehensive Joint Replacement Expanded (CJR-X), according to the 2027 Inpatient Prospective Payment System (IPPS) final rule.
CMS recently launched the Medicare GLP-1 Bridge, a short-term demonstration that provides eligible Part D beneficiaries with access to certain glucagon‐like peptide‐1 (GLP-1) drugs.
Are you a revenue integrity or revenue cycle leader who is energized by the prospect of being part of a dynamic community dedicated to peer exchange, goal achievement, and advancement of collective knowledge and best practices? NAHRI has a place for you! Apply to the upcoming term of the NAHRI Leadership Council to get connected to a powerful network of your most forward-thinking peers who are committed to sharing knowledge, establishing best practices, and supporting each other.
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.
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.
