For many years, primary care providers had no direct or explicit mechanism to be reimbursed for services specifically provided to Medicare and Medicaid beneficiaries under the collaborative care model ...

Medical professionals and healthcare facilities must complete different forms when billing for the services they provide. These are not forms you need to complete yourself. Claim form CMS-1500 is for ...

Hospitals will be seeing a payment bump for cases that report homelessness. CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its ...

395 new diagnosis codes have been proposed by CMS for fiscal year 2024. CMS recently released the fiscal year 2024 inpatient prospective payment system proposed rule, and with it came the annual ...

In January, the Centers for Medicare and Medicaid Services announced that it would cover continuous glucose monitoring for the first time; specifically it would cover therapeutic CGMs, of which the ...

The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...

Some of these codes will be available for use as early as July 1. Over the last few months CMS has been releasing procedure codes for your revenue cycle teams, both for inpatients and outpatients. For ...

CMS has determined that ICD-9-CM codes for 786.50 Chest pain, unspecified and 786.51 Precordial pain “flow from the existing narrative for conditions for which a [PT test] is reasonable and necessary, ...

In a move that acknowledges the gauntlet the US health system poses for people facing serious and fatal illnesses, Medicare will pay for a new class of workers to help patients manage treatments for ...

The new system uses a QR code, which patients can take to the doctor. The intention is to use biometrics and QR codes to ...