The Centers for Medicare & Medicaid Services (CMS) wants to modernize the Medicare Advantage and Part D programs, as well as launch an ambitious expansion of telehealth benefits, according to a proposed rule the agency issued last week.

One of the many benefits of working for a nation-wide company is visibility into payer actions from coast to coast. Our many customers send us comments about payer actions and ask if we can help with some of the issues. This is an extremely valuable process as it helps us learn about

Physicians hoping the Centers for Medicare & Medicaid Services (CMS) would modify some proposed changes to evaluation and management (E/M) codes got their wish Thursday when the agency issued its final Physician Fee Schedule rule for 2019.

As momentum builds on Capitol Hill for legislation to curb outsize or surprise medical bills, provider and insurance trade groups have released a consumer guide on balance billing—a sign they are aware of policy discussions on the issue. The serious legislative push on the issue started...

Several of my colleagues recently attended an ICD-11 presentation by Kathy Giannangelo at the American Health Information Management Association (AHIMA) Convention & Exhibit. Kathy has been in the trenches with ICD-11’s development for some time...