How to make the problem list an asset rather than a liability. According to the Centers for Medicare & Medicaid Services (CMS), risk adjustment allows Medicare Advantage (MA) plans to be paid based on the health risk of the patients they enroll, r...

Medicare coverage, medical necessity, and supplies all weigh in. Enteral nutrition is a method of delivering nutrients directly into the gastrointestinal (GI) tract when a patient cannot meet nutritional needs orally but still has a functioning digest...

But only one is reimbursable under Medicare. For calendar year 2025, the American Medical Association (AMA) introduced a new set of telemedicine codes (CPT® 98000-98016) for reporting patient evaluation and management (E/M) services conducted with t...

Study the Medicare policy and documentation guidelines before billing cholesterol tests. IIn the United States, cardiovascular diseases remain the leading cause of mortality, with hyperlipidemia playing a significant role in their development. Hyper...

Don’t let Medicare stick you with the bill for this pain management service. Chronic low back pain (cLBP) is a prevalent and debilitating condition affecting approximately 2.1 million Medicare beneficiaries. Traditional treatment modalities for cLBP, ...