Today, the BioTherapeutics, Education & Research (BTER) Foundation was notified that the American Medical Association (AMA), in collaboration with the Centers for Medicare and Medicaid Services (CMS) ...
How the FDA and CMS worked together on a new approach to paying for digital mental health treatments
Seshamani is the former director of the Center for Medicare. Parris is special assistant in the Center for Medicare. Jacobs is chief transformation officer of the Center for Medicare. Tarver is ...
Although Recovery Audit Contractors (RACs) are not currently evaluating facility evaluation and management (E&M) services, it may not be long before they do. In the 2010 final rule for the hospital ...
CMS suggests 1,495 total changes to the ICD-10-CM diagnosis code set in the FY 2023 IPPS proposed rule. Brain illness and injury, with a focus on dementia-related diagnoses, occupy a high volume of ...
Inpatient encounters for Medicare patients 65 years and older are associated with higher coding intensity compared with commercially insured, Medicaid, or self-pay hospitalizations for those same ...
As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process.
The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity. The growth of the Medicare Advantage ...
In the short run, rather than abandoning disease-based risk adjustment in Medicare Advantage, CMS should address coding intensity issues and continue to move to physician-reported encounter data. In ...
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