When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...
Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...
For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...
Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...
Current Procedural Terminology, perhaps better known by its abbreviation “CPT,” is the coding system the medical field uses to document healthcare services during a procedure. This system is extensive ...
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Inspire Medical stock tumbled 18% today – Wall Street flags Medicare coding shift as catalyst behind the drop
Stifel described the situation as taking a “merry-go-round” effect in the reimbursement environment “for the worse.” ・RBC Capital also pointed to the confusion over reimbursements as a key driver of ...
Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...
The Medicare Administrative Contractor WPS just removed the CPT code 64568 from its list of approved billing codes, according to an update posted ...
Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...
Do you generally refer to the appendix in your manuals, research materials, or other clinical practice guidelines? Perhaps when a question arises or context references you to the appendix, however not ...
In recent days, Inspire Medical Systems has been hit by Medicare contractors Noridian and CGS unexpectedly removing CPT code 64568 for hypoglossal nerve stimulation, forcing providers toward an ...
This guide was reviewed by a Business News Daily editor to ensure it provides comprehensive and accurate information to aid your buying decision. The United States Bureau of Labor Statistics predicts ...
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