Coding Resource Center
June 2024
The American Medical Association (AMA) Physician Practice Information Survey (PPIS) is sent out to radiology practices and other specialties to collect practice cost information and hours spent in direct patient care. This information is shared with the Centers for Medicare and Medicaid Services (CMS), which is then used to help update the Medicare Economic Index […]
The Food and Drug Administration (FDA) recently published an updated list of approved/cleared Artificial Intelligence and Machine Learning (AI/ML) enabled devices that have been marketed in the United States across multiple medical specialties. These devices have met the FDA’s related premarket requirements, including a “focused review of the devices’ overall safety and effectiveness, which includes […]
In a June 17 press release, the Centers for Medicare and Medicaid Services (CMS) announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will stop accepting new applications on July 12, 2024. The program, which began in March, was created to offset cash flow interruptions to […]
As part of its government mandate, the Medicare Payment Advisory Commission (MedPAC) released its report to Congress, containing six chapters for Medicare Physician Fee Schedule (MPFS) recommendations. As taken directly from June 2024 MedPAC Report to Congress: The commission has suggested the 2025 payment rates remain “flat”, but starting in 2026, will increase 0.75 […]
May 2024
W. L. Gore & Associates (Gore) announces FDA approval of an expanded indication for the GORE® EXCLUDER® Conformable AAA Endoprosthesis. The endovascular aneurysm repair (EVAR) device is now indicated for patients with highly angulated necks, specifically aortic neck angulation ≤ 90° and a minimum length of 10 mm. The GORE® EXCLUDER® Conformable AAA Endoprosthesis with […]
A new collaborative, multispecialty guideline has been established for the management of lower extremity peripheral arterial disease (PAD). The guideline published in Circulation and the Journal of the American College of Cardiology (JACC), entitled “2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart […]
Healthcare organizations are seeing a major increase of artificial intelligence (AI) features, which have the potential to improve clinician productivity and ultimately patient outcomes. Although predictive AI modes have been used for nearly a decade, generative AI and large language models (LLMs) are quickly emerging. In the healthcare arena, Generative AI can augment diagnostic exams, […]
According to the Office of Information Security (OIS), part of the Department of Health and Human Resources (HHS), ransomware is a type of malicious software, or malware, that encrypts computer data. This encryption makes the data unusable to the organization. In addition, this data is often stolen and then held hostage until the ransom is […]
April 2024
On April 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued their proposed rule that updates Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2025. Once these polices become final, they will cover inpatient hospital discharges on or after October 1, 2024. Highlights are described […]
According to First Coast Service Options, Inc., the Medicare Administrative Contractor (MAC) for Florida, Puerto Rico and the U.S. Virgin Islands, has been receiving a flood of appeals requests for denials of HCPCS code G2211 when billed with an office and outpatient (O/O) E/M service (CPT® codes 99202-99205 and 99211-99215) appended with modifier 25 because […]
