Revenue Cycle News and Analysis

November 26, 2025
Medicare Insider

This week’s Medicare updates include the 2026 OPPS final rule, several additions to the OIG Work Plan, and more!

November 26, 2025
HIM Briefings

Analyze recent social determinants of health (SDOH) updates and strategies for continued capture.

November 26, 2025
HIM Briefings

Examine how the potential expansion of risk adjustment data validation (RADV) auditing efforts could impact HIM professionals.

November 26, 2025
Medicare Insider

This week’s Medicare updates include the 2026 OPPS final rule, several additions to the OIG Work Plan, and more!

November 26, 2025
Briefings on APCs

While CMS declined to consider any codes for revaluation under the agency’s potentially misvalued codes policy for calendar year (CY) 2026, the agency proved responsive to nominators’ requests for certain codes to be valued or revalued.

November 26, 2025
News & Insights

Review price transparency updates and other changes in the 2026 Outpatient Prospective Payment System (OPPS) final rule. 

November 19, 2025
HIM Briefings

Gain insights on optimizing Healthcare Effectiveness Data and Information Set (HEDIS) quality measures through education and collaboration. 

November 19, 2025
News & Insights

Join us on the podium at the 2026 Revenue Integrity Symposium (RIS), to be held September 24-25, 2026, in Savannah, Georgia. The National Association of Healthcare Revenue Integrity (NAHRI) is now accepting proposals to speak at 2026 RIS. The deadline to apply is January 12, 2026.

November 19, 2025
Medicare Insider

This week’s Medicare updates include a fact sheet on 2026 premiums and deductibles for Parts A and B, the 2026 ambulance inflation factor, and more!

November 19, 2025
Briefings on APCs

Our experts answer questions about poisonings vs. adverse effects, coding neoplasm-related conditions, and office and outpatient E/M visit complexity.

November 19, 2025
HIM Briefings

Discover why structure, oversight, and relentless attention to data protection are key to successful artificial intelligence (AI) implementation. 

November 12, 2025
Briefings on APCs

The ICD-10-CM update for 2026 included 213 new codes that incorporated the “flank” as an anatomic area related to injuries. Genetic diseases also continue to make big inroads into the tabular list of diagnoses.

November 12, 2025
News & Insights

CMS' current bundling methodology for opioid use disorder (OUD) treatment payments does not accurately reflect care provided to Medicare enrollees, according to the Office of Inspector General (OIG).