CMS has issued two letters to state health authorities informing them that funding for certain Medicaid programs—i.e., continuous eligibility for Children’s Health Insurance Programs (CHIP) and workforce initiatives—have ended, according to the...Read More »
CMS released an announcement that traditional Medicare will add prior authorization (PA) requirements in six states for specific services, with a pilot...Read More »
CMS recently released the fiscal year (FY) 2026 ICD-10-CM update, which includes 487 new diagnosis codes effective October 1, 2025. The new codes cover a range of diagnoses, so be sure to review the code...Read More »
The term “social determinants of health” (SDOH) has become a buzzword in the CDI space over the last several years. There has been increased interest in, and emphasis on, capturing a holistic picture of the patient’s life and how such...Read More »
CMS has issued a final rule detailing changes to the Medicare Advantage (MA) and Part D programs for the contract year (CY) 2026. It also contains substantial modifications and revocations to the Inflation Reduction Act...Read More »
