The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, and more.
HCPro announced that Valerie A. Rinkle, MPA, has joined the company's regulatory specialist team to further develop its Medicare training and compliance products and services. Rinkle brings to HCPro more than 30 years of healthcare experience, including 10 years as revenue cycle director for Asante Health System in Medford, Oregon, and over a decade consulting with health systems and practices regarding Medicare and Medicaid payment systems and compliance
The American Medical Association (AMA) released the 2027 Current Procedural Terminology (CPT®) code set, detailing 299 additions, 74 revisions, and 80 deletions set to take effect next year.
CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.
The prevalence of healthcare-associated infections (HAI) in U.S. hospitals declined between 2015 and 2023, according to a CDC survey recently published in The New England Journal of Medicine.
UnitedHealthcare is fulfilling its pledge to reduce prior authorization requirements by 30% by the end of the year. Starting October 1, 2026, the insurer will no longer require approval for more than 1,700 procedure codes across various plans.
CMS released an advisory for certain clinicians who are qualifying alternative payment model (APM) participants, notifying them that their current billing information must be updated to receive funds for the 2026 payment year.
With extensive CPT coding changes on the horizon for all aspects of maternity care, revenue cycle professionals should review key updates for prenatal services.
