Coding Resource Center
September 2022
The American Medical Association (AMA) released the 2023 CPT® code set on September 9, 2022. This code set expands upon the long-awaited modifications to E/M services for other than outpatient and office encounters, as well as several other highly anticipated changes. A total of 10,969 codes are available for 2023. 393 editorial changes were made […]
In a letter to Senators last week, the American Medical Association (AMA), along with over 300 other physician, healthcare, and patient organizations, asked the Senate to extend pandemic telehealth flexibilities for at least two years following the existing statutory extension at the end of the public health emergency (PHE). Telehealth access “has been transformational—patients now […]
The American Hospital Association (AHA) and the American Medical Association (AMA) have withdrawn their legal challenge to the No Surprises Act’s independent dispute resolution process. The lawsuit, filed in December 2021 (following the release of the September 2021 interim final rule), aimed to revise regulations pertaining to dispute negotiations between payers and providers. However, the […]
August 2022
On August 1, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2023. These policies cover inpatient hospital discharges on or after October 1, 2022. Highlights are described below: CMS is finalizing their […]
As the number of monkeypox cases continue to rise, The Secretary of the Department of Health and Human Services (HHS) declared the monkeypox outbreak a public health emergency (PHE) on August 4, 2022, in an effort to heighten awareness and provide flexibility and funding to fight the virus’s spread. The announcement comes directly after appointment […]
The U.S. Food and Drug Administration (FDA) stated cardiovascular devices make up the largest number of technologies accepted into the FDA Breakthrough Devices Program. Created in 2018, the Breakthrough Devices Program provides for certain medical devices to be available for patients and healthcare providers in a timely manner by speeding up their development, assessment and […]
The Centers for Medicare and Medicaid Services (CMS) has released a Request for Information soliciting feedback regarding the Medicare Advantage program. Comments are requested from providers, plans, beneficiary advocates, states, employers and unions, and other partners to assist with policy development and implementation. “Medicare Advantage is a critical part of CMS’ vision to advance health […]
On Tuesday, August 17, the President signed the Inflation Reduction Act bill into law. The $750 billion health care, energy and climate bill which was passed by the House and Senate last week, contains many major health policy changes, including: Giving Medicare the power to negotiate prescription drug prices and extend expiring health care subsidies […]
On August 18, the Centers for Medicare and Medicaid Services (CMS) released several fact sheets aimed at helping providers prepare for the end of the COVID-19 public health emergency (PHE). CMS has been influential in supporting the health care community and its beneficiaries during the COVID-19 pandemic, offering emergency waivers and other regulations and enforcement […]
July 2022
On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Medicare Physician Fee Schedule (MFPS). These proposed rules cover physician services furnished to beneficiaries on or after January 1, 2023. Highlights are described below: CMS proposed Conversion Factor (CF) of $33.0775, which includes omission of the 3.00 percent […]
