As described by the Centers for Medicare and Medicaid Services (CMS), the Protecting Access to Medicare Act (PAMA) of 2014, Section 218(b), established a new program to increase the rate of appropriate advanced diagnostic imaging services provided to Medicare...
Beginning January 1, 2022, CMS increased the penalty for some hospitals that do not comply with the Hospital Price Transparency final rule. However, it has been noted that thousands of hospitals are not in compliance. Click here to learn more.
Finding the Healthcare Common Procedure Coding System (HCPCS) code for a new product or drug is easier than you may think! The Centers for Medicare & Medicaid Services (CMS) publishes an updated National Drug Code (NDC)/HCPCS crosswalk file every quarter. You can...
Since 2020, the Centers for Medicare & Medicaid Services (CMS) has been reviewing Healthcare Common Procedure Coding System (HCPCS) applications quarterly and posting their decisions with explanations on their website. To access the HCPCS application summaries,...
Did you know that Medicare makes reimbursement rates for procedures done in physician’s offices public information? To look up procedure reimbursement rates in your area or for the National Payment Amount, check out the Centers for Medicare & Medicaid...
Under Medicare, the components for many procedures are “bundled” together under one code. The bundle includes important components of the procedure, such as: staff time, disposable plastics, electricity for the building and—under the Hospital Outpatient Prospective...
