In the latest update to its Vaccine Administration National Fee Schedule, CMS established three Level II Healthcare Common Procedure Coding System (HCPCS) codes for billing a biosimilar used to treat COVID-19.
The Office of Inspector General (OIG) recently conducted an audit to identify potential vulnerabilities in the Medicare program that could be contributing to improper payments for virtual check-in and e-visit services.
CMS is weighing an expansion of the Comprehensive Care for Joint Replacement (CJR) model as well as cuts to disproportionate share hospital (DSH) payments, according to the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule.
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.
The Council's agenda for the March 19, 2026 meeting was:
•Presentation: How to optimize systems to involve clinicians in denials and use data to drive improvement ―Gopi Astik, MD, MS, medical director, Northwestern Memorial Hospital...
