News & Analysis

This Week in Medicare—7/23/2025

July 23, 2025
Medicare Insider

This week’s Medicare updates include the 2026 MPFS and OPPS proposed rules, revised guidance for rural health clinics, and more!

This Week in Medicare—7/2/2025

July 2, 2025
Medicare Insider

This week’s Medicare updates include a new model to test prior authorization processes, the July 2025 OPPS update, and more!

Study: Higher upcoding rates seen across outpatient settings

June 11, 2025
News & Insights

New findings suggest upcoding is becoming a more common practice in emergency departments, urgent care centers, and physician offices.

This Week in Medicare—4/16/2025

April 16, 2025
Medicare Insider

This week’s Medicare updates include the 2026 IPPS proposed rule, revised FAQs on telehealth services, and more! 

This week in Medicare—4/2/2025

April 2, 2025
Medicare Insider

This week’s Medicare updates include the April 2025 OPPS Addendum A and B files, revisions to the modifier -JW and -JZ policy HCPCS code list, and more!

This week in Medicare—3/26/2025

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!

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