The CDC National Center for Health Statistics discussed 31 proposals involving procedure code topics at a public ICD-10 Coordination and Maintenance Committee Meeting held March 17–18, 2026. Of the 31...Read More »
Appeals of health insurance claim denials resulted in overturned decisions between 30% and 78% of the time when the case reached independent review organizations (IROs), found by an analysis from completed...Read More »
The Office of Inspector General (OIG) conducted an audit of Medicare Advantage (MA) organizations because some diagnoses are at a higher risk for being miscoded, which may result in overpayments from CMS. The audit is part of a larger series of audits in which we are reviewing the accuracy of...Read More »
A new CMS rule will phase out fax machines and snail mail, replacing them with electronic transactions. This phase-out seeks to prioritize healthcare provider’...Read More »
The passage of the Consolidated Appropriations Act last month will bring some changes to the Medicare provider-based billing requirements. This act funds federal departments and agencies, including the Department of...Read More »
