This week’s Medicare updates include new condition tracks for the ACCESS Model, information on Health Professional Shortage Area bonuses for 2027, and more!
This week’s Medicare updates include new condition tracks for the ACCESS Model, information on Health Professional Shortage Area bonuses for 2027, and more!
CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.
The range of evaluation and management services and ways to bill them continues to expand. But with more billing opportunities comes more confusion about work that can and cannot be billed.
Artificial intelligence (AI) is no longer something we are simply anticipating in healthcare revenue cycle operations. It is changing how documentation is reviewed, clarified, prioritized, and translated into coded data.
The prevalence of healthcare-associated infections (HAI) in U.S. hospitals declined between 2015 and 2023, according to a CDC survey recently published in The New England Journal of Medicine.
Thyroid disorders challenge outpatient hospital coders because the record often contains symptoms, laboratory values, medications, imaging findings, and surgical history before it contains a clear final diagnosis. Those clues can help a coder understand the encounter, but they do not authorize the coder to diagnose the patient.
This week’s Medicare updates include recent fraudulent billing activity among certain DMEPOS suppliers, a final decision memo on coverage of transcatheter aortic valve replacements, and more!
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.
Payer requirements are constantly changing, while the information that organizations need to respond to those changes can be scattered and difficult to pull together.
