Examine how the potential expansion of risk adjustment data validation (RADV) auditing efforts could impact HIM professionals.
Review price transparency updates and other changes in the 2026 Outpatient Prospective Payment System (OPPS) final rule.
Analyze recent social determinants of health (SDOH) updates and strategies for continued capture.
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.
Gain insights on optimizing Healthcare Effectiveness Data and Information Set (HEDIS) quality measures through education and collaboration.
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!