Medicare news

Review key coding and billing changes in the 2025 Medicare Physician Fee Schedule (MPFS) final rule.

CMS issued a final rule last month that spells out a new appeals process for patients initially admitted as inpatients but later reassigned to outpatients receiving observation services.

Read about new initiatives and regulatory developments aimed at improving healthcare for those experiencing homelessness.

Elizabeth Hogue, Esq., answers questions on charity care requirements and a recent final rule banning noncompete agreements.

Learn about the new codes for chimeric antigen receptor T-cell (CAR-T) cell collection and cell processing in the 2025 Outpatient Prospective Payment System proposed rule.

While Medicare Advantage (MA) plans may be an appealing, potentially lower-cost option for patients, they’ve created big hassles for case managers.

Peggy Rossi, BSN, MPA, CCM, CM/RN, CMAC, discusses workplace violence prevention in the healthcare industry and provides tips for training and education. 

Review what case managers should know about the new mandatory episode-based payment model approved by CMS in the 2025 Inpatient Prospective Payment System (IPPS) final rule.

The American Hospital Association (AHA) recently urged Congress to pass stalled bipartisan legislation that would help protect healthcare workers from violence.

Case managers should familiarize themselves with CMS' behavioral health policies to ensure they continue to provide high-quality patient care.