When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...

Stifel described the situation as taking a “merry-go-round” effect in the reimbursement environment “for the worse.” ・RBC ...

The Medicare Administrative Contractor WPS just removed the CPT code 64568 from its list of approved billing codes, according to an update posted ...

Current Procedural Terminology, perhaps better known by its abbreviation “CPT,” is the coding system the medical field uses to document healthcare services during a procedure. This system is extensive ...

The senator is asking stakeholders with relevant experience and knowledge of CPT coding contracts to respond to a questionnaire.

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

The first of November we welcomed the publication of the CY 2020 Medicare Physician Fee Schedule (PFS) Final Rule, which clarified coding rules around cognitive function intervention. The same week we ...

Do you generally refer to the appendix in your manuals, research materials, or other clinical practice guidelines? Perhaps when a question arises or context references you to the appendix, however not ...

The American Medical Association's (AMA's) 2020 update of the Current Procedural Terminology (CPT) code set — involving almost 400 code changes — reflects a continued expansion of medicine beyond the ...