Today the Centers for Medicare & Medicaid Services (CMS) finalized its national coverage policy for Ambulatory Blood Pressure Monitoring (ABPM).  ABPM is a non-invasive diagnostic test that uses a device to track blood pressure over 24-hour cycles, allowing...

Clinical diagnostic laboratory tests range from routine chemical measurements like blood glucose or sodium to complex examinations for cancer, infectious diseases, or rare inherited disorders. The information they provide is among the most important data doctors use to diagnose and treat patients. Medicare...

The Department of Justice is taking legal action against hospitals, health systems and technology companies for submitting false claims to Medicare and Medicaid pursuant to the Electronic Health Records Incentive Program, according...

If you’re an inpatient hospital coder, you’ve got some good news coming your way. Beginning on Oct. 1, 2019, you’ll have 1,322 fewer ICD-10-PCS codes to deal with. That’s because the number of deleted procedure codes — 2,056 in all — far outnumber the 734 additions to the 2020 code set.

Value-based payment reform will be the key to lowering healthcare costs and improving care quality, according to health economist Michael Chernew, PhD. At AHIP’s 2019 Institute & Expo in Nashville last week, the Leonard D. Schaeffer Professor of Health Care Policy explained that, of all the reforms...

When we started our medical billing enterprise in 1994 I had no prior experience at billing any medical claims, not to mention secondary and tertiary. I knew nothing. In fourteen years of billing I’ve discovered much and I see from questions in our discussion board that many newbies don’t perceive secondary and tertiary claims billing in any respect.