Uncategorized Archives

Operationalizing the Maternity Care Restructuring: Closing the 2026 Revenue Gap

By Madison Gardner

In Billing

Sep 8th, 2026

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If your obstetrics and gynecology (ob-gyn) team is treating the CPT® 2027 maternity restructure as a January code update, you are already behind. The coding change is real, and it is large. Effective Jan. 1, 2027, the CPT Editorial Panel’s maternity care services revision moves obstetric reporting away from the legacy global maternity packages and ...

Home Health Consolidated Billing Update

By Renee Dustman

In Uncategorized

Jul 27th, 2026

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Effective Oct. 1, 2026, the Centers for Medicare & Medicaid Services (CMS) will add 19 new HCPCS Level II codes to the home health consolidated billing non-routine supply code list. Types of services subject to home health consolidated billing (HH CB) include: Durable medical equipment is exempt from HH CB. What are the new codes ...

CMS Announces 2027 MA Capitation Rates and Parts C and D Payment Policies

By Renee Dustman

In Uncategorized

Apr 8th, 2026

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But a change to a risk adjustment policy is getting the most attention. The Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rates in a final notice on April 6. The policies project a net average increase of 2.48 percent, or more than $13 ...

HCPCS Level II Code Changes Go Into Effect April 1

By Renee Dustman

In Uncategorized

Feb 27th, 2026

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Learn about the HCPCS Level II quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) to ensure accurate coding and proper claims payment after April 1, 2026. The April 2026 update to HCPCS Level II includes: New Supply Codes The April update includes 36 new HCPCS Level II codes. Code Short Descriptor &n...

2027 Medicare Advantage and Part D Advance Notice

By Lee Fifield

In CMS

Feb 5th, 2026

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Each year, the Centers for Medicare & Medicaid Services (CMS) is required to update Medicare Advantage (MA) payment rates and conducts technical updates supporting MA payment accuracy through the Advance Notice and Rate Announcement process. On Jan. 26, 2026, CMS released the calendar year (CY) 2027 Advance Notice of Methodological Changes for Medicare Advantage Capitation ...