CMS announced it is adding 80 new procedure codes to the fiscal year (FY) 2026 ICD-10-PCS code set, available for discharges occurring from April 1 through September 30, 2026, ...Read More »
CMS recently published a fact sheet detailing improper payments across Medicare and Medicaid programs in fiscal year (FY) 2025, including overpayments, underpayments, and payments that lacked...Read More »
Kaiser Permanente has reached a settlement agreement with the United States Department of Justice over documentation practices impacting some Medicare Advantage (MA) risk adjustment payments from 2009‒2018. According to the Office of Inspector General (OIG)...Read More »
Total United States healthcare spending increased an estimated 7.2% to $5.3 trillion in 2024, according CMS actuaries’ annual estimate, similar to the 7.4% increase in...Read More »
Generative artificial intelligence (AI) offers benefits in medicine but poses risks to medical trainees, including skill loss and outsourcing reasoning that can potentially undermine clinical competence and patient safety, according to a recent...Read More »
According to a clinical review published in the Journal of the American College of Cardiology, atherosclerotic cardiovascular disease remains a leading cause of morbidity and mortality worldwide, with acute myocardial...Read More »
Clinics, specialty groups, and ambulatory care centers are facing systemic strains from the outpatient healthcare infrastructure, according to the Outpatient Pressure Index...Read More »
The American Hospital Association (AHA) sent comments to the Medicare Payment Advisory Commission (MedPAC) ahead of their January meeting regarding payment update recommendations. Specifically, the AHA urged MedPAC to:
Recommend higher payment updates for inpatient and outpatient
