CMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule. Brain illness and injury, with a focus on dementia-related diagnoses, occupy a high volume of ...

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 ...

CMS released its Medicare payment codes for administering an antibody treatment found effective against the COVID-19 omicron variant. The payment codes, effective Feb. 11, are for bebtelovimab. The ...

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 ...

The Centers for Medicare & Medicaid Services (CMS) has proposed a new category of digital health services—Remote Therapeutic Monitoring (RTM)—to complement the existing suite of Remote Physiological ...

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 Stark Law restricts financial relationships between a physician and any entity that furnishes and bills Medicare for DHS (a DHS Entity), and many of the most commonly used Stark Law exceptions ...

CMS proposed 1,495 changes to the ICD-10-CM diagnostic code set in its proposed Inpatient Prospective Payment System rule released April 18. A large slew of the proposed changes focus on brain illness ...

The CMS will offer end-to-end testing of Medicare claims using the ICD-10 diagnostic and procedure codes, an attempt to deliver much sought-after assurances that its contractors will be prepared 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, ...