reimbursement

The update added HCPCS Level II codes to the list, effective for Medicare claims with dates of service on or...

For the duration of the public health emergency, hospitals may bill outpatient therapy services in two ways.

Both cases have a lengthy history and have seen lower court rulings in favor of the AHA overturned on appeal.

The healthcare industry is leaving $16.3 billion in potential automation savings on the table, finds the 2020 CAQH Index.

The 21st Century Cures Act created an additional exception that allowed off-campus PBDs that met certain requirements to continue to...

This is the latest chapter in a long-running dispute about CMS? authority to reduce payment for services provided at excepted...

The new tool allows providers to determine appropriate CPT/HCPCS codes for COVID-19 immunizations by inputting information on the vaccine manufacturer...

The leader of America's Physician Groups pushes for acceleration of the shift from the fee-for-service care model to value-based care.

The temporary suspension affects facilities in UHC?s Medicare Advantage, Medicaid, individual, and group health plans and is retroactively effective December...

CMS added 144 services to its list of physician telehealth services that will continue to be covered beyond the end...

If CC/MCC capture is improved, that will also increase the organization?s case-mix index and, therefore, its reimbursement.

These audits are a follow up to a previous audit that found from 2013 to 2016 Medicare overpaid acute care...