CMS isn’t just tweaking ASC policies in 2026; it’s remolding the financial and regulatory foundation of outpatient surgery. From a major expansion of procedures allowed in the setting to the phaseout ...

The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity.

CMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule. Brain illness and injury, with a focus on dementia-related diagnoses, occupy a high volume of ...

395 new diagnosis codes have been proposed by CMS for fiscal year 2024. CMS recently released the fiscal year 2024 inpatient prospective payment system proposed rule, and with it came the annual ...

CMS released its Medicare payment codes for administering an antibody treatment found effective against the COVID-19 omicron variant. The payment codes, effective Feb. 11, are for bebtelovimab. The ...

For many years, primary care providers had no direct or explicit mechanism to be reimbursed for services specifically provided to Medicare and Medicaid beneficiaries under the collaborative care model ...

In January, the Centers for Medicare and Medicaid Services announced that it would cover continuous glucose monitoring for the first time; specifically it would cover therapeutic CGMs, of which the ...

CMS’ addition of more than 560 codes to the ASC covered procedure list for 2026 is a milestone for the industry, but SCA Health executives say the real impact, particularly for cardiovascular services ...

The Centers for Medicare & Medicaid Services' (CMS') proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital health ...

In its comments to the Centers for Medicare and Medicaid Services (CMS) on the draft CY2025 Medicare physician fee schedule (PFS), the American Medical Association badgered CMS on its proposed 2.8% ...

Amy Gleason, strategic advisor to the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services and acting administrator of the U.S. Department of Government ...