CMS has proposed a 2.4% Medicare pay hike for fiscal 2027 and is developing ways to eliminate payment “creep” under PDPM.

Medicare Advantage could see major payment and oversight changes. Learn how the proposal may affect plan costs, coverage, and ...

Conclusions: Our findings suggest that Medicare inpatient encounters are associated with higher coding intensity than ...

The growth of the Medicare Advantage (MA) program to over half of eligible Medicare beneficiaries has made MA payment a salient part of Medicare policy discussions. Those discussions often focus on ...

CMS and the American Academy of Professional Coders hosted a Code-a-Thon on April 26, at which coding experts from AAPC responded to nearly 250 questions from more than 1,200 participants, according ...

As a result of insurers “upcoding” patient diagnoses, the Centers for Medicare and Medicaid Services (CMS) overpaid Medicare Advantage (MA) by $50 billion (or 13 percent) in 2024, according to the ...

The Centers for Medicare & Medicaid Services has issued a permanent billing and reimbursement J-code, J9183, for the ...

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 ...

The Centers for Medicare & Medicaid Services has posted a video on YouTube featuring footage from its April ICD-10 Code-a-Thon, according to an AAPC report. The Code-a-Thon was held in collaboration ...

The fiscal year 2024 ICD-10-CM codes are now effective, and they will impact your reimbursement. Earlier this year, CMS announced the addition of 395 new diagnosis codes, 25 deletions to the diagnosis ...