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.
Analyze upcoming changes to physician reimbursement, telehealth requirements, and other policies in the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule.
This week’s Medicare updates include a revised memorandum on government shutdown contingency plans and an update on the recent temporary claims processing hold.
Analyze new ICD-10-PCS codes that allow for more specific coding of cricothyroidotomies and tracheostomies, aortic dissections, and nasal septum flap transfers.
CMS directed contractors to lift the temporary claims processing hold issued earlier this month in response to the government shutdown for certain services.
