News & Analysis

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
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
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 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 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).

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