Hospitals will be seeing a payment bump for cases that report homelessness. CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its ...

Prepare your revenue cycle teams for several hundred new fiscal year 2024 ICD-10-CM codes now finalized to take effect October 1. CMS recently announced the addition of 395 new diagnosis codes, 25 ...

Primary care physicians forgo considerable amounts of Medicare revenue because they infrequently use billing codes for prevention and coordination services despite having eligible patients, according ...

The Centers for Medicare and Medicaid Services' push to move procedures from inpatient to less expensive outpatient care continues, with revenue at risk for lucrative joint replacement starting in ...

In its final rule for outpatient procedures, CMS rejected a request to develop specific payment codes for some orthopedic implants, saying providers could assign charges to a C-code or an uncoded ...

An analysis of differential coding patterns between Medicare Advantage (MA) and Traditional Medicare (TM) plans estimated how much coding differs between insurers and how much extra revenue insurers ...

Humana (HUM) said Wednesday that the number of members enrolled in 2025 Medicare Advantage plans with a quality rating of at least four stars is expected to plunge, likely affecting its 2026 revenue ...