The American Medical Association’s (AMA’s) CPT® Editorial Panel was busy this year. Not including early release codes, editorial changes in CPT® 2027 that go into effect Jan. 1, ...
July 5, Medicare began testing its Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) payment Model. It’s a voluntary, 10-year test under CMS Innovation Center...
Starting Oct. 15, 2026, the Centers for Medicare & Medicaid Services (CMS) will require probationary prior authorization for certain durable medical equipment, prosthetics, ort...
The findings of an Office of Inspector General (OIG) audit report released August 5 should get the attention of pain management practices. The report (OAS-25-9-021) is based on an a...
Medicare creates physician specialty codes to identify the type of medicine a physician practices, such as cardiology, internal medicine, or general surgery. These codes describe t...
Your guide to CMS’ fourth quarter coding and payment files. We in the industry always say that nothing stays the same in the business of healthcare. If anyone ever doubts this, just show them this list...
Providing telehealth services from home is not the same as having a home-based medical practice. The COVID-19 public health emergency dramatically changed how healthcare was delivered. Physicians and o...