News & Analysis

CMS ignores potentially misvalued codes, revalues some codes anyway

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.

SDOH and their impact on health outcomes

November 26, 2025
HIM Briefings

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

CMS releases 2026 OPPS final rule

November 26, 2025
News & Insights

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

AI and HIM: Getting it right from the start

November 19, 2025
HIM Briefings

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

Coding Q&A: November 2025

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.

Apply to speak at the 2026 Revenue Integrity Symposium

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.

Pages