December 31, 2025
News & Insights

As Medicare payment ramps back up after the recent government shutdown, revenue cycle professionals must pay particular attention to certain items.

December 24, 2025
News & Insights

CMS is preparing to conduct the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey (ODACS) to collect specific acquisition costs for outpatient drugs and biologicals purchased by hospitals paid under the OPPS.

December 17, 2025
News & Insights

Review findings from the American Hospital Association that highlight recent improvements in patient safety measures and outcomes.

December 10, 2025
News & Insights

Q: What considerations should coders keep in mind when referring to problem lists for determining the principal diagnosis and proper sequencing of all documented conditions in the inpatient setting?

December 3, 2025
News & Insights

Learn about potential changes to the Medicare Advantage (MA) and Part D prescription drug programs for contract year (CY) 2027.

December 1, 2025
News & Insights
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
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 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).

November 5, 2025
News & Insights

Analyze upcoming changes to physician reimbursement, telehealth requirements, and other policies in the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule.

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