Responding to criticisms lodged against an otherwise popular program among seniors, Senators Bill Cassidy, M.D. (R-LA) and Jeff Merkley (D-OR) introduced a bill to improve the way Medicare Advantage ...

The Centers for Medicare and Medicaid Services (CMS) late Thursday announced that it would finalize a policy to separately code and pay for biosimilar products under Medicare Part B, signaling a win ...

Inpatient encounters for Medicare patients 65 years and older are associated with higher coding intensity compared with commercially insured, Medicaid, or self-pay hospitalizations for those same ...

MINNEAPOLIS--(BUSINESS WIRE)--The Centers for Medicare and Medicaid Services (CMS) has issued a new Healthcare Common Procedure Coding System (HCPCS) code and New Technology Ambulatory Payment ...

The Stark Law restricts financial relationships between a physician and any entity that furnishes and bills Medicare for DHS (a DHS Entity), and many of the most commonly used Stark Law exceptions ...

An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how much coding differs between insurers and how much extra revenue insurers ...

395 new diagnosis codes have been proposed by CMS for fiscal year 2024. CMS recently released the fiscal year 2024 inpatient prospective payment system proposed rule, and with it came the annual ...

CMS has framed its proposed 2027 Medicare physician payment rule as a pivot from “sick care to healthcare.” For orthopedic and spine practices, the proposal carries a more immediate message: The ...

CMS’ 2027 payment rule for ASCs, proposed July 2, projects a 2.4% effective update overall — the same headline figure hospital outpatient departments are set to receive. But that number masks sharply ...

As of April 1, coding teams now have 42 new diagnosis codes and 34 new ICD-10-PCS procedure codes to choose from. The CDC’s ICD-10-CM diagnosis code changes, including 42 diagnosis code additions, ...