CMS issued a final rule to establish several new appeals processes for Medicare beneficiaries who want to challenge a hospital’s decision to reclassify their status.
CMS added new Healthcare Common Procedure Coding System (HCPCS) codes and made status indicator (SI) and code descriptor changes for outpatient skin substitute claims.
The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.
CMS recently issued a final national coverage determination (NCD) for pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent HIV in high-risk individuals.
NAHRI needs revenue integrity professionals like you to apply to the speak at the 2025 Revenue Integrity Symposium (RIS), to be held September 25-26, 2025, in Westminster, Colorado. We want to hear about your great ideas, successful programs, lessons learned, and areas of expertise!