The following Q&A comes from the Centers for Medicare & Medicaid Services website. Q: What is the updated definition of “new patient” for billing evaluation and management (E/M) services? A: Interpret ...

CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.The following Q&A comes from ...

As a result of insurers “upcoding” patient diagnoses, the Centers for Medicare and Medicaid Services (CMS) overpaid Medicare Advantage (MA) by $50 billion (or 13 percent) in 2024, according to the ...

Medicare Advantage remains an attractive option for Medicare beneficiaries, and enrollment has increased substantially, by 66 percent in the past six years. Also increasing, it seems, is coding ...

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 ...

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Diligent ASC coders always ...

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 ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

On Nov. 26, CMS proposed reforms to the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and GLP-1 coverage. 1. The agency is seeking feedback on ...

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 for ...