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The announcement that Medicare will no longer pay for consultation codes shocked the medical industry, leaving doctors worried about their income and perplexed about how to handle the new situation.
Most Medicare beneficiaries in Parts A and B are expected to be enrolled in Medicare Advantage plans by next year, but spending on the plans is going to continue to outpace traditional fee-for-service ...
In the Deficit Reduction Act of 2005, Congress gave the Centers for Medicare and Medicaid Services (CMS) the statutory authority and obligation to implement a “coding intensity adjustment” for ...
SAN DIEGO, July 15, 2025 /PRNewswire/ -- Cooler Heads, a health tech company dedicated to making scalp cooling more accessible and affordable for people undergoing chemotherapy, celebrates a major ...
Medicare Advantage coding requires a lot of attention to detail, and submitting inaccurate diagnoses for reimbursement could be a compliance nightmare, according to an article from AAPC, a ...
The legislation aims to reduce overpayments to Medicare Advantage (MA) plans. A pair of U.S. Senators have put forth a bill to oppose upcoding in MA by eliminating incentives for plans to overcharge.
A HHS study found physicians are still improperly billing Medicare enrollees for services of which they should be exempt, according to The New York Times. 1. Despite official warnings about fines or ...
The American Medical Association released its 2014 Current Procedural Terminology code set in fall 2013. The new code set, which includes 335 changes, now applies to all claims filed on or after Jan.
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