News & Analysis

October 1, 2025
News & Insights

CMS recently clarified billing and coding requirements for critical care scenarios, hospital outpatient clinic visits, telehealth, and other evaluation and management (E/M) services.

October 1, 2025
Medicare Insider

This week’s Medicare updates include the October 2025 I/OCE update files, clarification on speech-language pathologist qualifications for Part B services, and more!

September 24, 2025
Medicare Insider

This week’s Medicare updates include new prior authorization statistics for FY 2024, revised guidance on evaluation and management services, and more!

September 17, 2025
Medicare Insider

This week’s Medicare updates include the COVID-19 vaccine payment allowances for the 2025-2026 season, an OIG report on Part B expenditures for skin substitutes, and more!

September 10, 2025
Medicare Insider

This week’s Medicare updates include the 2025 fourth quarter NCCI edit files, provider education instructions concerning prior authorization for certain ASC services, and more!  

September 3, 2025
Medicare Insider

This week’s Medicare updates include a revised fact sheet on Part D opioid policies, an OIG report on billing for remote patient monitoring, and more!

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