CMS proposes new rules for 2024 that apply to Medicare Advantage Plans. Last month, I told you that there would be big news coming, and sure enough, there was. The Centers for Medicare & Medicaid Services (CMS) proposed a new rule, to become effective in 2024, that would...

When I still practiced clinically, I once got a job as an emergency physician at a brand-new hospital. I was really excited, because I recognized the opportunity for our department to develop our own best-practice culture. I was hoping the staff would gel in an environment of...

Citing “consistently high error rates,” federal officials announced this week that they will be conducting a nationwide audit of Inpatient Rehabilitation Facilities (IRFs). The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) on Tuesday...

Amid this election season, the Centers for Medicare & Medicaid Services (CMS) has published final rules for the 2023 Part B Physician Fee Schedule and Medicare Shared Savings Program, the Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC)...

The AMA released the calendar year 2023 CPT code set, which builds on the AMA’s efforts to reduce administrative tasks in medicine, according to a recent press release.The CPT code update contains 393 changes, including 225 new codes, 75 deletions, and 93 revisions.

Revised ICD-10-CM codes for neurocognitive disorders are now in effect, the American Psychiatric Association (APA) has announced. The coding changes for major and mild neurocognitive disorders represent “the most consequential” coding changes for DSM-5 disorders since...