CMS and the American Academy of Professional Coders hosted a Code-a-Thon on April 26, at which coding experts from AAPC responded to nearly 250 questions from more than 1,200 participants, according ...

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 ...

Today, the BioTherapeutics, Education & Research (BTER) Foundation was notified that the American Medical Association (AMA), in collaboration with the Centers for Medicare and Medicaid Services (CMS) ...

Seshamani is the former director of the Center for Medicare. Parris is special assistant in the Center for Medicare. Jacobs is chief transformation officer of the Center for Medicare. Tarver is ...

CMS is floating the implementation of a separate add-on payment for healthcare common procedure coding system code G2211 in its 2023 Medicare Physician Fee Schedule, according to an Oct. 13 report in ...

As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process.

Radiology organizations and federal agencies are emphasizing standardized reporting, updated ICD-10-CM guidance, and refined billing workflows to cut claim denials and improve reimbursement in 2026.

Federal agencies have introduced updates to HIPAA guidance, Medicare payment policies, and medical coding standards for 2026, bringing new privacy protocols, reimbursement formulas, and code sets. The ...

Although Recovery Audit Contractors (RACs) are not currently evaluating facility evaluation and management (E&M) services, it may not be long before they do. In the 2010 final rule for the hospital ...

The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity. The growth of the Medicare Advantage ...