Resource Library

Tag: Regulatory updates and legislation

2026 CPT® code set: 7 key updates for coding, rev cycle, and finance leaders

With more than 400 updates, the 2026 CPT® code set has major operational and reimbursement implications. Here’s what health organizations should focus…

Article

Clinical Terminology

Medicare’s Inpatient Only List to end per the 2026 Final Rule

CMS is phasing out Medicare's Inpatient-Only List of procedures ineligible for outpatient reimbursement. Get the full scoop here.

Article

Regulatory updates and legislation

CMS finalizes 2.6% payment increase for hospital outpatient centers, ASCs for 2026

Ensure you understand all CMS updates for 2026, including the ASC payment increase, site-neutrality payments, and IPO list elimination.

Article

Regulatory updates and legislation

Take compliance off the back burner: 3 risks of ignoring interoperability in 2026

USCDI Version 3 goes into effect on January 1 - and delaying compliance will cost you. Learn more about what's at stake,…

Insight Brief

Financial Return

USCDI V3 compliance is mandatory by 2026 – here’s how to get ready

The addition of USCDI V3 and V4 to IMO Health’s proprietary lexicon ensures health systems comply with rapidly evolving regulations, avoiding costly…

Article

Financial Return

Inside Cedars-Sinai’s push for smarter LOINC mapping

See how Cedars-Sinai streamlined lab data exchange and improved reporting accuracy through better LOINC mapping.

Article

Interoperability

From chaos to clarity: HCC 2026 and RADV CMS’s new era of risk adjustment

A fireside chat with IMO Health experts exploring what HCC 2026 and expanded RADV audits mean for the industry.

Webinar

Financial Return

CMS prior authorization update: What providers need to know

CMS expands ASC prior authorization rules with the 2026 WISeR model. Learn what providers need to know to prepare and reduce claim…

Article

Clinical Documentation and Coding

Staying ahead of ICD-10-CM in 2026: Key updates for accurate coding

Ensure compliance and accuracy with insights into the most impactful ICD-10-CM changes coming in 2026.

Article

Clinical Terminology

RADV vs. OIG audits in 2026: What health plans and providers must know

Nearly all health plans and systems will face increased audit risk in 2026. Does your organization have the proper tools in place…

Article

Clinical Documentation and Coding

RADVs and HCCs: Are you ready for audit acceleration?

Payers, providers, and payviders all share in the risks and responsibilities of expanding RADV audits. Is your organization ready for what’s next?

Article

Clinical Documentation and Coding

RADV mastery: HCCs, documentation, and the path to RADV audit success

At a time when audits are a matter of when, not if, being prepared is essential. Explore the impact on payers and…

Insight Brief

Clinical Documentation and Coding

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Tag: Regulatory updates and legislation

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