News & Analysis

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 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
Briefings on APCs

On November 1, 2024, CMS released its final rule describing calendar year 2025 policies and rates for Medicare’s Outpatient Prospective Payment System and the final rule was published in the Federal Register. This article is a comprehensive overview of all the major highlights, allowing coders to stay informed about key updates and navigate the changes throughout the year. 

February 26, 2025
Medicare Insider

This week’s Medicare updates include an OIG report on CMS’ over-the-counter COVID-19 test kits demonstration, roster billing for hepatitis B vaccines, and more!

February 19, 2025
News & Insights

Discover updates to global surgery coding and billing guidelines that reflect changes in the 2025 Medicare Physician Fee Schedule final rule.

January 22, 2025
Medicare Insider

This week’s Medicare updates include resources and flexibilities available to those affected by the California wildfires, a telehealth waiver extension, and more!

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