Analyze upcoming changes to physician reimbursement, telehealth requirements, and other policies in the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule.
Analyze new ICD-10-PCS codes that allow for more specific coding of cricothyroidotomies and tracheostomies, aortic dissections, and nasal septum flap transfers.
CMS directed contractors to lift the temporary claims processing hold issued earlier this month in response to the government shutdown for certain services.
Like previous federal government shutdowns, the one that ensued when Congress failed to produce a continuing resolution on the budget by October 1 has implications for providers. You should reduce the chances of harm by planning to address them now.
CMS recently clarified billing and coding requirements for critical care scenarios, hospital outpatient clinic visits, telehealth, and other evaluation and management (E/M) services.
CMS recently issued a final decision memo to formally expand Medicare coverage of transcatheter edge-to-edge repair (T-TEER) for the treatment of tricuspid regurgitation.
The recent appointment of a new Office for Civil Rights (OCR) director could signal a return to assertive legal interpretation and enforcement of HIPAA regulations.
