Coding for treatment of certain conditions has surged substantially, and as the Centers for Medicare and Medicaid Services ...

The last five months have seen a wave of proposals and policies from CMS related to everything from updates to coverage of pain procedures to fraud crackdowns and claims documentation requirements.

The Centers for Medicare and Medicaid Services announced on Tuesday a 1.5 percent cut to the amount it pays hospitals, a move designed to recover $11 billion in overpayments. The American Taxpayer ...

In its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule, CMS made major changes to its reimbursement framework, which is reshaping how ...

The Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) have released the updated ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year ...

Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert ...

In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...

The Centers for Medicare and Medicaid Services (CMS) announced Wednesday that it is temporarily pausing new enrollments for ...

MENLO PARK, Calif.--(BUSINESS WIRE)--Intersect ENT®, Inc. (Nasdaq: XENT), a global ear, nose and throat (“ENT”) medical technology leader dedicated to transforming patient care, today announced that ...

The Centers for Medicare and Medicaid Services (CMS) late Thursday announced that it would finalize a policy to separately code and pay for biosimilar products under Medicare Part B, signaling a win ...

Although Recovery Audit Contractors (RACs) are not currently evaluating facility evaluation and management (E&M) services, it may not be long before they do. In the 2010 final rule for the hospital ...