Billing and Claims

CMS recently outlined new billing, coding, and plan of care requirements for Intensive Outpatient Program (IOP) services for Federally Qualified Health Centers (FQHC) and rural health clinics (RHC).

CMS recently released a final rule to improve interoperability and streamline prior authorization processes for medical items and services.

CMS released billing requirements for new condition code 92, which identifies claims for Intensive Outpatient Program services and became effective on January 1.

Refocus on your goals and progress.

Learn how CMS’ changes to outpatient hospital reimbursement and compliance will affect your organization.

Understand CMS' rules for reimbursement for certain dental services under the Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).

Understand CMS’ key changes to physician payments and new compliance requirements for 2024.

CMS recently granted transitional pass-through payment status for Healthcare Common Procedure Coding System (HCPCS) code C1827, when used in combination with Current Procedural Terminology (CPT^©) code 64568, for all dates of service starting January 1, 2023.