CMS recently issued the calendar year (CY) 2027 Medicare Advantage (MA) and Part D rate announcement, which outlines upcoming changes to payment rates, risk adjustment policies, and more. Read More »
Revenue integrity professionals should take note of the latest edition of the National Correct Coding Initiative (NCCI) quarterly edit files, which take effect on April 1.Read More »
To address organizations' recent coding concerns regarding hypoglossal nerve stimulators, CMS plans to add several new HCPCS codes to the April 2026 Integrated Outpatient Code Editor (I/OCE) update.Read More »
Review upcoming changes to modifier -AX reporting requirements and other end-stage renal disease (ESRD) and acute kidney injury (AKI) billing instructions.Read More »
