The American Medical Association released its 2014 Current Procedural Terminology code set in fall 2013. The new code set, which includes 335 changes, now applies to all claims filed on or after Jan.

In a move that acknowledges the gauntlet the US health system poses for people facing serious and fatal illnesses, Medicare will pay for a new class of workers to help patients manage treatments for ...

Last-minute advocacy by the AOA and other physician groups secured the 2.5% pay increase in H.R. 1, reversing the expected ...

The U.S. Centers for Medicare and Medicaid Services (CMS) has added several new oral health billing codes for Medicare, and one U.S. legislator wants states notified so they consider making similar ...

The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services ...

Medicare claims use specific codes for billing. Only healthcare professionals and facilities use these codes. Read more.

CMS finalizes 2026 physician fee schedule, introducing two conversion factors and updates to practice expense methodology for Medicare payments.

According to Medicare, as of January 1, 2014, “ASCs should not report separate line item Healthcare Common Procedure Coding System codes or charges for items that are packaged into payment for covered ...

In 2016 Medicare introduced advance care planning Current Procedural Terminology (CPT) codes to reimburse clinicians for time spent providing the service. Despite recent increases, use of these codes ...

Government watchdogs are calling on CMS to recoup the overpayments. Hospitals upcoded severe malnutrition diagnosis codes on inpatient hospital claims in 2016 and 2017, reaping an estimated $1 billion ...

To enhance compensation for primary care activities that occur outside of face-to-face visits, the Centers for Medicare and Medicaid Services recently introduced new billing codes for transitional ...