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.

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.

Education and coordination in HEDIS measures

November 19, 2025
HIM Briefings

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

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.

This Week in Medicare—11/19/2025

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!

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