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How a strong collaboration between clinical and billing teams can simplify J-code decoding, paving the way for improved patient access to innovative treatments. It’s an all-too-common story. A patient ...

The Centers for Medicare and Medicaid Services (CMS) issued a second Healthcare Common Procedure Coding System (HCPCS) code to be used by laboratories for the testing and tracking of new cases of the ...

Earlier this year, the Centers for Medicare and Medicaid Services (CMS) confirmed that, effective January 1, 2025, CMS will pay for acute kidney injury (AKI) renal dialysis treatments at-home at the ...

The American Medical Association and UnitedHealth Group have developed billing codes for social determinants of health as insurers move toward paying for more than just medical treatment to improve ...

Use of billing codes in big data sets to find diagnoses can result in up to two-thirds of cases being mistakenly identified, new UCLA-led research finds. Though the findings in this paper focused on ...

Generics and biosimilars are reimbursed differently, causing providers to prefer lower-cost generics and higher-priced biologics, authors of a study and opinion piece contend. There is pharmaceutical ...

The U.S. Centers for Medicare and Medicaid Services (CMS) has added several new oral health billing codes for Medicare, and one U.S. legislator wants states notified so they consider making similar ...