This week’s Medicare updates include an announcement regarding Rural Health Transformation Program participation and the latest information on the telehealth claims processing hold ordered during the shutdown.
The ICD-10-CM update for 2026 included 213 new codes that incorporated the “flank” as an anatomic area related to injuries. Genetic diseases also continue to make big inroads into the tabular list of diagnoses.
CMS' current bundling methodology for opioid use disorder (OUD) treatment payments does not accurately reflect care provided to Medicare enrollees, according to the Office of Inspector General (OIG).
Analyze upcoming changes to physician reimbursement, telehealth requirements, and other policies in the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule.
Chronic conditions are among the most frequently encountered diagnoses in the outpatient setting. Accurate coding of these conditions is critical not only for proper reimbursement but also for compliance, quality reporting, and patient care continuity.
Learn how HIM leaders can reduce clinician burden, strengthen data integrity, and prepare their organizations for an artificial intelligence (AI)-enabled future.
