When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...
The Centers for Medicare & Medicaid Services will begin auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded, the agency ...
If you listen to the Centers for Medicare & Medicaid Services (CMS), the organization's plans to update evaluation and management (E/M) codes could simplify documentation and free up doctors’ time to ...
About 10 percent of claims filed under ICD-10 have been denied since the coding vocabulary became the norm on October 1, the Centers for Medicare and Medicaid Services said on Thursday, though only a ...
CMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule. Brain illness and injury, with a focus on dementia-related diagnoses, occupy a high volume of ...
The NCTAP was finalized as part of CMS’ fourth COVID-19 interim final rule. A version of this article was first published February 10, 2021, by HCPro's Revenue Cycle Advisor, a sibling publication to ...
Federal regulators have said that healthcare pricing data, which hospitals and insurers must make public under new requirements, should not be blocked from web searches, according to an April 14 Wall ...
MENLO PARK, Calif.--(BUSINESS WIRE)-- Intersect ENT®, Inc. (Nasdaq: XENT), a global ear, nose and throat (“ENT”) medical technology leader dedicated to transforming patient care, today announced that ...
CMS has published a MLN Matters article on the importance of coding the place of service by physicians and billing agents who submit claims to Medicare. Publication of the article comes after the OIG ...
Biomedical innovators have mobilized across the world to address COVID-19, from the initiation of clinical trials for potential vaccines to ongoing studies of repurposed medications for potential ...
The Centers for Medicare and Medicaid Services is delaying for two years implementation of evaluation and management coding reforms that affect physician payment, in a move applauded by the American ...
CMS’ final rule released Nov. 1 includes changes to the billing and coding requirements for evaluation and management services, Health Data Management reports. Effective Jan. 1, CMS’ E/M coding ...