News & Analysis

January 25, 2023
Medicare Insider

This week's Medicare updates include an FAQ on the JW/JZ modifiers, a revised version of the January 2023 OPPS update transmittal, new items on the OIG Work Plan, and more!

January 11, 2023
Medicare Insider

This week’s Medicare updates include the April quarterly update to the ICD-10-CM codes and guidelines, a correction notice for the 2023 OPPS final rule, an updated list of lab tests subject to exceptions from the lab date of service policy, and more!

January 4, 2023
Medicare Insider

This week’s Medicare updates include guidance on using the 340B modifier in relation to the Part B inflation rebate, the January 2023 update to the ASC payment system, provider education on prior authorization for facet joint interventions, and more!

December 23, 2022
Medicare Insider

This week’s Medicare updates include additional corrections to the FY 2023 IPPS final rule, new items for the OIG Work Plan, a proposed rule on Medicare Advantage changes, 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 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! 

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