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IPPS · DRG · CMS

Policy & Reimbursement FY 2027 IPPS Final Rule: What HIM and Coding Leaders Need to Do Before October 1 The biggest cardiac DRG restructuring in 43 years, $779M in NTAP, and Medicare Advantage entering quality measurement — effective October 1, 2026. CODEMED, Inc. · Aug 2026

Policy & Reimbursement FY 2027 IRF PPS Final Rule: What Rehab Facilities Need to Know Before October 1 A 2.3% payment update, an all-therapies 36-hour requirement, day-4 IDT meetings, and 45-day QRP deadlines — in effect October 1, 2026. CODEMED, Inc. · Aug 2026

Revenue Cycle Charge Capture Is Still the Biggest Hole in Your Mid Revenue Cycle HFMA puts the loss at 1–5% of net revenue. The charge that never got entered at all — and why ambient AI can't fix it. Keon Hercules · Jul 2026

Compliance & Auditing SMRC Audits: What Every HIM Pro and CFO Should Know Three lenses on the audits quietly reshaping revenue cycle risk: coding, finance, and documentation. Keon Hercules · Jul 2026

AI & Technology What Two Years of Building AI Into HIM Actually Taught Us Not demos — production pipelines where a wrong answer is a compliance finding or a denied claim. Where the models failed, what finally changed. Keon Hercules · Jul 2026

CDI & Denial Prevention The Payer Review Process Isn't a Mystery — It's a Documentation Problem DRG downgrades, clinical validation denials, automated E/M downcoding — different programs, one question: does the record prove it? Keon Hercules · Jul 2026

Cancer Registry

Cancer Registry The Demographics of Cancer Are Shifting — and Registries Are Seeing It First Colorectal cancer is rising in adults under 50. Registrars saw it before the headlines did. What this means for your registry operations. Keon Hercules · Jul 2026

Policy & Reimbursement Medicare Advantage Under the Microscope: What CMS's Audit Expansion Means for Providers RADV audits went from ~60 plans a year to all of them. The documentation that decides those audits is written in your organization. Keon Hercules · Jul 2026

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