A recent HHS Office of Inspector General (OIG) report examines Medicare services provided during the Medicare Severity Diagnosis Related Group (DRG) payment window – that is, the period when certain ...
The U.S. Medicare draft inpatient rule for fiscal 2026 discusses a number of coding proposals, although the agency seems disinclined to go along with a proposal to increase payment rates for TAVR ...
A new study reveals that Medigap protection laws significantly affect Medicare plan choices for older adults in whom cancer is diagnosed. People in certain states were far more likely to switch from ...
CMS has determined that ICD-9-CM codes for 786.50 Chest pain, unspecified and 786.51 Precordial pain “flow from the existing narrative for conditions for which a [PT test] is reasonable and necessary, ...
The Centers for Medicare & Medicaid Services has issued the Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems proposed rule, which suggests updates to ...
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