News & Analysis

December 14, 2022
Medicare Insider

This week’s Medicare updates include the January 2023 OPPS update transmittal, a proposed rule on interoperability and improving prior authorization processes, billing instructions for home or residence services, and more! 

December 14, 2022
Briefings on APCs

CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.

December 7, 2022
Medicare Insider

This week’s Medicare updates include instructions on billing CAR T-Cell therapy in a physician office, revisions to an MLN booklet on Medicare coverage for power mobility devices, an implementation transmittal for the FY 2023 IPPS, and more! 

November 30, 2022
Medicare Insider

This week’s Medicare updates include an OIG review on compliance with Medicare regulations for billing advance care planning services, an update to the cost report for independent renal dialysis facilities, and more! 

November 16, 2022
Medicare Insider

This week’s Medicare updates include the 2023 update to the KX modifier threshold amounts, revisions to language in the Medicare Claims Processing Manual regarding instructions for billing hospital Part B inpatient services, enrollment application information for rural emergency hospitals, and more! 

November 9, 2022
Medicare Insider

This week’s Medicare updates include the CY 2023 Medicare Physician Fee Schedule final rule, the CY 2023 Outpatient Prospective Payment System final rule, the corrections for the FY 2023 Inpatient Prospective Payment System final rule, and more!

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