News & Analysis

March 26, 2025
Medicare Insider

This week’s Medicare updates include a fact sheet on price transparency requirements, a final decision memo regarding a new transcatheter tricuspid valve replacement NCD, and more!

March 19, 2025
Briefings on APCs

Practices upped their use of modifier 59 (Distinct procedural service) in recent years, adding nearly 1 million 59-appended claims to the most frequently reported same-day procedural codes.

March 19, 2025
News & Insights

Analyze recent findings on the greatest barriers and facilitators to screening, documenting, and addressing social determinants of health (SDOH) in emergency departments.

March 19, 2025
Medicare Insider

This week’s Medicare updates include manufacturer agreements for the second cycle of the Medicare Drug Price Negotiation Program, a revised memorandum on long-term care surveyor guidance, and more!

March 12, 2025
Medicare Insider

This week’s Medicare updates include revisions to the 2025 NCCI Policy Manual, a list of HCPCS codes subject to modifier -JW and -JZ policy, and more!

March 5, 2025
News & Insights

As hospitals continue to struggle to comply with hospital price transparency requirements, HHS has been tasked with updating guidance and enforcement efforts.

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