CMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule.

Prior authorizations are becoming more common in original Medicare. In December, Medicare will begin requiring prior ...

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage organization (MAO)-specific adjustment factors would improve the financial ...

Some of these codes will be available for use as early as July 1. Over the last few months CMS has been releasing procedure codes for your revenue cycle teams, both for inpatients and outpatients ...

A new bill to improve the way Medicare Advantage (MA) providers determine patients’ health risks, to eliminate overpayment.

Pear Therapeutics CEO Corey McCann said the agency's new HCPCS code for prescription digital behavioral therapy is an important milestone for getting digital therapeutics as a product category ...

Q: When Correct Coding Initiative (CCI) edits for certain services do not apply under the Outpatient Prospective Payment System (OPPS), is it appropriate for a hospital to report a pair of codes ...

CMS has determined that ICD-9-CM codes for 786.50 Chest pain, unspecified and 786.51 Precordial pain "flow from the existing narrative for conditions for which a [PT test] is reasonable and necessary, ...

CMS has released several fact sheets in recent weeks on billing and coding to provide guidance to healthcare organizations testing and treating patients for COVID-19, the disease caused by the ...

ICD-10 doomsday is Oct. 1, 2014, for physicians, hospitals and all other providers, and CMS is ramping up its guidance on how providers should prepare for the transition.

Symmetrical Health, LLC, doing business as Cimilre Breast Pumps, announced today that the Centers for Medicare & Medicaid Services (CMS) has established a new HCPCS Level II code A4288, “Valve ...