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News
Decoding Medicare Advantage Coding Intensity | KFF
2+ mon, 1+ week ago (1210+ words) This brief answers key questions about coding intensity, recent steps taken by CMS to address the impact...of coding on payment, the effects on Medicare beneficiaries, and other proposals to improve Medicare...Decoding Medicare Advantage Coding Intensity In recent years,…...
Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System ( HCPCS) Level II Coding
5+ mon, 2+ hour ago (517+ words) This notice announces the first biannual Healthcare Common Procedure Coding System (HCPCS) Level II public...meeting of 2026 to discuss the CMS' preliminary coding, Medicare benefit category, and Medicare payment...determinations, if applicable, for new revisions to the HCPCS Level II…...
CMS Screening Mandate’s Effect on Inpatient Z-Code Usage
9+ mon, 3+ week ago (900+ words) , the study by Santiago, Steele, Lee, and colleagues reveals significant shifts in how inpatient Z-code...Historically, Z-codes have been underutilized, often relegated to a secondary consideration in medical...The study illustrates a marked improvement in the rate and accuracy of…...
UnitedHealthcare cuts prior authorization from 1,700 codes
1+ week, 4+ day ago (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology...Now, UnitedHealthcare has released detailed lists of the CPT codes, five-digit codes that represent medical...The cuts include more than 800 codes for UnitedHealthcare’s commercial plans,…...
Insurers back Medicare coding rule ahead of looming pay overhaul
6+ mon, 1+ week ago (37+ words) Modern Healthcare Insurers back Medicare...coding rule ahead of looming pay overhaul Former UVA Health CEO Dr....
Group sues AMA seeking transparency over Medicare billing codes
1+ mon, 18+ hour ago (214+ words) American Medical Association in an effort to get more transparency over the association’s billing codes...PatientRightsAdvocate.org hopes to republish the codes online and allow the public to search them free...which has pushed for health care transparency, is challenging…...
Medicare Program; Public Meeting for New Revisions to the Healthcare Common Procedure Coding System ( HCPCS) Coding-December 17, 2025, With an Overflow Date of December 18, 2025
9+ mon, 3+ week ago (387+ words) In 2020, we implemented changes to our HCPCS Level II coding procedures, including the establishment...of quarterly coding cycles for drugs and biological products and biannual coding cycles for non-drug...
Uptake of new Medicare G2211 code slower than projected by CMS | Newswise
5+ mon, 1+ week ago (291+ words) outpatient visits found that use of the Centers for Medicare & Medicaid Services (CMS) G2211 add-on code...Uptake of new Medicare G2211 code slower than projected by CMS URL goes live when the embargo lifts...outpatient visits found that use of the Centers…...
CMS Posts Updated SNF Consolidated Billing HCPCS Code Tables
4+ mon, 4+ week ago (133+ words) AHCA/NCAL - CMS Extends Date To Submit...
Catching Unethical Loopholes in ICD-10 Code Billing: Daniel Siegel, MD | AJMC
7+ mon, 2+ week ago (616+ words) Catching Unethical Loopholes in ICD-10 Code Billing: Daniel Siegel, MD The American Journal of Managed...applying the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10) code...